Individual provider Active NPI

Norvy Jean

  • Nurse Practitioner
  • Queens Village, NY
National Provider Identifier
1144627993
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F403116 Issued in NY
Practice address
10607 215TH St
Queens Village, NY 11429-1517
Phone
(718) 465-2180
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 693637 NY
Family Nurse Practitioner 363LF0000X 403116-1 NY
Nurse Practitioner 363L00000X F403116 NY Primary

Addresses

Primary practice location

10607 215TH St
Queens Village, NY 11429-1517

Mailing address

10607 215TH St
Queens Village, NY 11429-1517
Phone (718) 465-2180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220302002026 NY Practitioner - Nurse Practitioner 8123412491 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norvy Mindful Care Psychiatry NP PCGroup PAC ID 4082058011, 2 clinicians

Practice addresses (Care Compare)

21451 Jamaica Ave
FL 2
Queens Village, NY 11428-1733
Phone (929) 496-7214

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
80.43
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
693637NYMDRegistered Nurse
F403116NYMDNurse Practitioner
403116-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Apr 1, 2022 Accepting new patients
Mind Wellness Professional Psychiatric Services PC CurrentSince Jan 1, 2022 Accepting new patients
Norvy Mindful Care Psychiatry NP PC Nurse Practitioner CurrentSince Jan 7, 2024 Accepting new patients
Supportive Care Psychology of Ny PC CurrentSince Sep 1, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

3272 Steinway St
Fl 5
Astoria, NY 11103
Phone (718) 204-9720

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

21451 Jamaica Ave
#2
Queens Vlg, NY 11428
Phone (929) 496-7214

39 Wallace St
Scotia, NY 12302
Phone (518) 346-6458

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 872-9698

1400 Wantagh Ave
Ste 202
Wantagh, NY 11793
Phone (516) 814-6816

Organizations & group practices 4

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1144627993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10607 215TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291517",
            "telephone_number": "718-465-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10607 215TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291517",
            "telephone_number": "718-465-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "NORVY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "693637",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "403116-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F403116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.