Iris Massiel Marcelin, NP
Individual provider Active NPI Family Nurse Practitioner · Irvington, NY
NPI 1063013258 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1063013258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 346796 (NY)
- Practice address
- 100 N Broadway
Irvington, NY 10533-1254 - Phone
- (646) 785-0034
- NPI assigned
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Abbott House
Practice addresses (Care Compare)
100 N Broadway
Irvington, NY 10533-1254
Phone 91459173003013
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240522000743 | NY | Practitioner - Nurse Practitioner | 5294177267 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F406304 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbott House | Current |
Accepting new patients |
Locations
100 N Broadway
Irvington, NY 10533
Phone (914) 591-7300
Interoperability endpoints
- iris.garcia.1@24989.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F406304 | NY | |
| Family Nurse Practitioner | 363LF0000X | 346796 | NY | Yes |
Addresses
Primary practice location
100 N Broadway
Irvington, NY 10533-1254
Mailing address
418 Broadway Ste R
Albany, NY 12207-2922
Phone (646) 785-0034
Other names
- Iris Massiel Garcia
Other providers in Irvington, NY
- Laura Rachel Lucido
- Victoria Macdonald
- Jennifer Malakoff
- Irene Mangiacotti
- Philip J Manning
- Emily Masuch
- Olga Lucia Mayorga-Schriever
- Arden Lee McMath
- Laura McSpedon
- Lariannie Medina Estrada
All providers in Irvington, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.