Nathalie Avignon

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402272 Issued in NY

Practice address

97-77 Queens Blvd
Penthouse
Rego Park, NY 11374

Phone

(718) 896-9090

NPI assigned

Aug 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA, VT, MA, NE, GA6 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 6

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Modern Psychiatric Nurse Practitioner PCGroup PAC ID 0840570297, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

28.29 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

94.29

Merit-based Incentive Payment System (MIPS)

Final score

87.65 of 100Reported as group

Quality

71.56

Promoting interoperability

74

Improvement activities

40

Cost

87.55

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: navignon60668@direct.garnethealth.org
• Direct secure messaging: navignon82093@direct.medisys.org

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.

• Modern Psychiatric Nurse Practitioner PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1518415983

  GA, MA, NE, PA, VT

  Medicare reassignment Care Compare group
• Jamaica Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment NPD
• Jewish Board of Family & Childrens Services Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1689755662
  Medicare reassignment NPD
• Psychiatric Nurse Practitioner P.C

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1518595727
  Medicare reassignment NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD
• Jewish Board of Family and Children'S Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1760173579

  Psychiatric/Mental Health

  NPD
• The Mental Health Association of Westchester County, Inc.

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1942306873
  NPD
• Jewish Board of Family and Children'S Services, Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1821273459
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1144746199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97-77 QUEENS BLVD",
            "address_2": "PENTHOUSE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97-77 QUEENS BLVD",
            "address_2": "PENTHOUSE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-896-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVIGNON",
        "first_name": "NATHALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darilynn Averett, LMSW
• Iosif Avezbadalov, DDS
• Adel Avezoff, FNP
• Ema Avezova
• Michael Aviel, DDS
• Zhanna Avizov, DPT
• Jacob Alayev Avner, DDS
• Avs Medical Supply, Inc.
• Roman Aykelinchayev, PA-C
• Mariam Azimi, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.