Individual provider Active NPI

Amirah Yasin, NP

  • Acute Care Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1114657483
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F431793 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 299-7295
Fax
(718) 299-6797
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F431793 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

2626 Halperin Ave
Bronx, NY 10461-2631
Phone (718) 618-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA, OR, AK4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220708001443 NY Practitioner - Nurse Practitioner 1456731470 Reassigns benefits to 3 organizations
I20250501001066 WA Practitioner - Nurse Practitioner 1456731470 Reassigns benefits to 3 organizations
I20250528003696 OR Practitioner - Nurse Practitioner 1456731470 Reassigns benefits to 1 organization
I20250701003550 AK Practitioner - Nurse Practitioner 1456731470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians
Pacific Medical Specialty GroupGroup PAC ID 2365838364, 56 clinicians

Practice addresses (Care Compare)

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

3020 S Union Ave
Tacoma, WA 98409-3317
Phone (253) 844-4327

821 N St
Suite 102
Anchorage, AK 99501-3285
Phone (253) 844-4327

900 NE 27TH St
Bend, OR 97701-9548
Phone (253) 844-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F431793NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Peaks Healthcare PC CurrentSince Aug 18, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2022 Accepting new patients
Pacific Medical Specialty Group CurrentSince Apr 14, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince May 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2022 Accepting new patients
Pacific Medical Dialysis Services CurrentSince May 18, 2025 Accepting new patients

Locations

821 N St
Ste 102
Anchorage, AK 99501
Phone (253) 844-4327

2015 Grand Concourse
#13202
Bronx, NY 10453

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

900 NE 27th St
Bend, OR 97701
Phone (253) 844-4327

2355 State St
Ste 101
Salem, OR 97301
Phone (503) 383-9039

917 Pacific Ave
Ste 100
Tacoma, WA 98402
Phone (253) 670-3099

917 Pacific Ave
Ste 600
Tacoma, WA 98402
Phone (253) 232-7495

3020 S Union Ave
Tacoma, WA 98409
Phone (253) 844-4327

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1114657483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 HALPERIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612631",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASIN",
        "first_name": "AMIRAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.