Individual provider Active NPI

Patrice Powell, DNP

  • Primary Care Nurse Practitioner
  • Fresh Meadows, NY
National Provider Identifier
1215341037
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
306820 Issued in NY
Practice address
16040 78TH Rd Ste 100
Fresh Meadows, NY 11366-1969
Phone
(888) 855-2584
Fax
(888) 855-1622
NPI assigned
Jun 19, 2014
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F306820 NY
Gerontology Nurse Practitioner 363LG0600X 306820 NY
Primary Care Nurse Practitioner 363LP2300X 306820 NY Primary

Addresses

Primary practice location

16040 78TH Rd Ste 100
Fresh Meadows, NY 11366-1969

Mailing address

16040 78TH Rd
Fresh Meadows, NY 11366-1969
Phone (888) 855-2584

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
I20150728003653 NY Practitioner - Nurse Practitioner 3779897343 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians of the Future Medgroup PLLCGroup PAC ID 7719102631, 2 clinicians

Practice addresses (Care Compare)

16040 78TH Rd
Fresh Meadows, NY 11366-1969
Phone (888) 855-2584

2910 Exterior St
FL 1
Bronx, NY 10463-7104
Phone (212) 567-4918

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306820NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of the Future Medgroup PLLC CurrentSince May 1, 2015 Accepting new patients
Patrice Powell Adult Health NP PLLC Gerontology CurrentSince Sep 5, 2022 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 21, 2024 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

2910 Exterior St
Fl 1
Bronx, NY 10463
Phone (212) 567-4918

16040 78th Rd
Fresh Meadows, NY 11366
Phone (347) 475-0911

16040 78th Rd
Ste 100
Fresh Meadows, NY 11366
Phone (888) 855-2584

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27348/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patrice.powell.1@27348.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1215341037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 78TH RD",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661969",
            "telephone_number": "888-855-2584",
            "fax_number": "888-855-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 78TH RD STE 100",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661969",
            "telephone_number": "888-855-2584",
            "fax_number": "888-855-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "PATRICE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F306820",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "306820",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "306820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.