Individual provider Active NPI

Jeanne Etienne Vilsaint, FNP-BC

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1386971265
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350855 Issued in NY
Practice address
1163 E 102ND St
Brooklyn, NY 11236-4439
Phone
(917) 239-3094
Fax
(718) 287-4600
NPI assigned
Nov 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 350855 NY Primary

Addresses

Primary practice location

1163 E 102ND St
Brooklyn, NY 11236-4439

Mailing address

1695 Remsen Ave
Brooklyn, NY 11236-5233
Phone (917) 230-3094

Other names 1

  • Jeanne E Vilsaint Other name

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
I20240503003526 NY Practitioner - Nurse Practitioner 1355781501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAEDDD/Endpoint/BAEDDD

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1386971265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365233",
            "telephone_number": "917-230-3094",
            "fax_number": "718-287-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 E 102ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364439",
            "telephone_number": "917-239-3094",
            "fax_number": "718-287-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILSAINT",
        "first_name": "JEANNE",
        "middle_name": "ETIENNE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2024-04-03",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "VILSAINT",
            "middle_name": "E",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.