JENNIFER L URSOY (PA-C) – Medical Physician Assistant, NPI 1619170768

JENNIFER L URSOY (PA-C) is a healthcare provider. based in Bradford, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA055459 (PA). The NPI Number for JENNIFER L URSOY (PA-C) is 1619170768

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L URSOY (PA-C)
NPI
1619170768
Phone
(814) 363-2714
Address
116 INTERSTATE PKWY
Enumeration Date
7 June 2007
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7163720141
Graduation Year
2011 (15 years ago)
PAC ID
9931428125
Group Practice PAC ID
0042698045
Professional Enrollment ID
I20210517002169
Address ID
NY147601500OL535XXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

9,738 PHYSICIAN ASSISTANT in PA

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Provider Addresses for JENNIFER L URSOY (PA-C)

  • Bradford Regional Medical Center, 116, Interstate Parkway, Bradford, McKean County, Pennsylvania, 16701, United States

    BRADFORD, PA 16701

    Phone: (814) 363-2714

    Fax: (814) 363-2713

    Type: Location

  • 128, South 4th Street, South Olean, City of Olean, Cattaraugus County, New York, 14760, United States

    OLEAN, NY 147603513

    Phone: (716) 307-4669

    Type: Mailing

  • PO BOX 488

    BUFFALO, NY 142400488

    Phone: (866) 853-9551

    Type: Mailing

  • 2223 W STATE ST

    OLEAN, NY 147601938

    Phone: (716) 373-3544

    Type: Location

  • 535 MAIN ST

    OLEAN, NY 147601500

    Phone: (716) 372-0140

    Fax: (716) 373-6632

    Type: Mailing

  • 515 MAIN ST

    OLEAN, NY 147601598

    Phone: (716) 372-2600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 147 Open Payments records for all available years, with a total value of $2,979.

Total Amount is formed as General ($2,979) + Research ($0) + Ownership ($0) = $2,979.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($726).

Total Amount

$2,979

General + Research + Ownership

Payments

147

Total payment records

General Amount

$2,979

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150511001506IPhysician AssistantPATBD
I20210517002169IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes16971$0
36415Insertion of needle into vein for collection of blood sample9259$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8480$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count5947$0
80053Blood test, comprehensive group of blood chemicals5645$0
View full utilization report →

Insurance plans in this area (ZIP 16701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042698045View full group profile
NameSpecialtyState
Family PracticePA
Nurse PractitionerNY
Diagnostic Radiology, Nuclear MedicineNY
A L L E R G Y/ I M M U N O L O G YNY
Nurse PractitionerNY
P O D I A T R YOH
Family PracticeNY
Diagnostic RadiologyWI
Cardiovascular Disease (Cardiology)NY
Diagnostic RadiologyNY

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER L URSOY (PA-C) in U.S. healthcare records?
The official identifier for JENNIFER L URSOY (PA-C) is NPI 1619170768.
Is JENNIFER L URSOY (PA-C) still an active registrant?
JENNIFER L URSOY (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to JENNIFER L URSOY (PA-C)?
JENNIFER L URSOY (PA-C)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNIFER L URSOY (PA-C)?
Travel planning: use Bradford, Pennsylvania as the reference point for JENNIFER L URSOY (PA-C), then confirm.
Can I trust this NPI listing for JENNIFER L URSOY (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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