Individual provider Active NPI

Victoria Alicia Averill, DNP, FNP-BC

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1164147104
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351000 Issued in NY
Practice address
3611 14TH Ave Ste 550
Brooklyn, NY 11218-3773
Phone
(718) 819-6144
Fax
(718) 819-6145
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351000 NY Primary

Addresses

Primary practice location

3611 14TH Ave Ste 550
Brooklyn, NY 11218-3773

Mailing address

3611 14TH Ave Ste 550
Brooklyn, NY 11218-3773

Other practice location 1

391 E 149th St Ste 403
Bronx, NY 10455-3907
Phone (718) 819-6144

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
I20230309001564 NY Practitioner - Nurse Practitioner 8527431725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 E 55TH St
New York, NY 10022-4540

2701 Queens PLZ N
FL 10
Long Island City, NY 11101-4022

375 E Central Ave
Second Floor Suite 377
Winter Haven, FL 33880-3047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
464 Bay Ridge Medical PLLC CurrentSince Sep 1, 2024 Accepting new patients
Gamss Health Urgent Medicine PC CurrentSince Oct 21, 2024 Accepting new patients
Adventure Care PLLC Current Accepting new patients
Schweiger Dermatology PLLC CurrentSince Dec 20, 2022 Accepting new patients

Locations

391 E 149th St
Ste 403
Bronx, NY 10455
Phone (718) 819-6144

217 Havemeyer St
Fl 5
Brooklyn, NY 11211
Phone (929) 277-3003

1309 Avenue J
#B
Brooklyn, NY 11230
Phone (718) 338-3030

3611 14th Ave
Ste 550
Brooklyn, NY 11218
Phone (718) 819-6144

464 Bay Ridge Ave
Brooklyn, NY 11220
Phone (347) 628-2682

65 Church Ave
Brooklyn, NY 11218
Phone (718) 819-6144

464 Bay Ridge Ave
Ste B
Brooklyn, NY 11220
Phone (347) 801-2542

32 Court St
Ste 302
Brooklyn Heights, NY 11201
Phone (718) 408-4906

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

1727 Broadway
#2
New York, NY 10019
Phone (212) 489-6669

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1164147104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 14TH AVE STE 550",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 14TH AVE STE 550",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183773",
            "telephone_number": "718-819-6144",
            "fax_number": "718-819-6145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 E 149th St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104553907",
            "country_code": "US",
            "telephone_number": "718-819-6144",
            "fax_number": "718-819-6145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVERILL",
        "first_name": "VICTORIA",
        "middle_name": "ALICIA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.