JENNIFER LYNNE GORMAN-FECCO — NPI 1194098442 (Licensed & Credentialed Registered Nurse, Hospice in CORTLAND, NY)

CMS-1500 Box 24J / 33a • NPI

1194098442

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WH1000X

Licensed & Credentialed Registered Nurse, Hospice

Box 32 Service Location & ZIP+4

11 KENNEDY PKWY, CORTLAND, NY, 13045-1409

✓ 9-Digit EDI 837 ZIP+4 (13045-1409)

Practice Phone & Referral Fax

(607) 753-9105

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194098442 (JENNIFER LYNNE GORMAN-FECCO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1194098442` (NPI-1 Individual Practitioner)
Provider / Legal Name	JENNIFER LYNNE GORMAN-FECCO
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Hospice NUCC Code: `163WH1000X` (Registered Nurse, Hospice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	11 KENNEDY PKWY, CORTLAND, NY, 13045-1409
Practice Telephone / Fax	Tel: (607) 753-9105
Administrative Mailing Address	586 BABCOCK RD, TULLY, NY, 13159-3246
Enumeration & Last Sync	Enumerated: 2012-02-17 \| CMS Record Updated: 2012-02-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11 KENNEDY PKWY, CORTLAND, NY, 13045-1409

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Plain-English Taxonomy & CMS Crosswalk (163WH1000X)

What Does Taxonomy Code 163WH1000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WH1000X translates to:
"Licensed & Credentialed Registered Nurse, Hospice"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Hospice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JENNIFER LYNNE GORMAN-FECCO)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WH1000X` — Registered Nurse, Hospice Plain English: Licensed & Credentialed Registered Nurse, Hospice	State: NY \| License: `454672` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JENNIFER LYNNE GORMAN-FECCO (NPI #1194098442)