Physician Compare National (NPI:1699308759)

HEALTHCARE PROVIDER: JENNIFER M CAGE RN, FNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699308759
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335579184
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200420001578
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GORECKI
	Individual professional last name
Provider First Name	JENNIFER
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CLARKE FAMILY MEDICINE LLP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5395083653
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6950 WILLIAMS RD
	Group Practice or individual's line 1 address
City	NIAGARA FALLS
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	143043025
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7162971027
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330065
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NIAGARA FALLS MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330188
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MOUNT ST. MARY'S HOSPITAL & HEALTH CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y