Nixon Jean

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F404753 Issued in NY

Practice address

2873 W 17TH St FL 2
Brooklyn, NY 11224-2611

Phone

(718) 265-0900

Fax

(718) 265-6319

NPI assigned

Feb 6, 2023

Last updated

Apr 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: nixon.jean@cfth.eclinicaldirectplus.com

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

• Hummingbirds Project Ny NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1881574176
  Medicare reassignment NPD Authorized official
• Care for the Homeless

  dba Susan's Place Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1013154657
  Medicare reassignment NPD
• A Merryland Operating LLC

  dba A Merryland Health Center

  • Adolescent Medicine (Family Medicine) Physician
  • Brooklyn, NY
  • NPI 1972848307
  NPD
• Care for the Homeless

  dba BLondell Avenue Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1952647430
  NPD
• Jal 28 LLC

  dba A Merryland Health Center

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1063278281
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1205532801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2873 W 17TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242611",
            "telephone_number": "718-265-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2873 W 17TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242611",
            "telephone_number": "718-265-0900",
            "fax_number": "718-265-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "NIXON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404753",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404753",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "649309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Jean
• Maguenite Jean
• Mariam Jean, RN
• Mike Jean, LMSW
• Nickflor Jean
• Patrice Jean, RN
• Pmarie Jean
• Rebecca Jean
• Rocamiha Jean, RN
• Ronald Jean

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, 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 Apr 19, 2023; 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.