Jessina Rose Wachtelhausen, RN
Registered Nurse in New York, NY. Individual provider (NPI-1).
NPI number1154840973
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1154840973
- Entity type
- Individual (NPI-1)
- Name
- Jessina Rose Wachtelhausen
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 549420 | NY | Yes |
Other names
- Jessina Rose Carroll (Former Name)
Practice location
110 W 97th StNew York, NY 10025-6450
Phone 212-316-7906 · Fax 212-932-8323
Mailing address
110 W 97th StNew York, NY 10025-6450
Phone 212-316-7906 · Fax 212-932-8323
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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