Individual provider Active NPI

Jeanne Jeanlus, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1548532484
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343264 Issued in NY
Practice address
6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081
Phone
(718) 238-2100
Fax
(718) 748-0863
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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 F343264 NY Primary

Addresses

Primary practice location

6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081

Mailing address

6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081
Phone (718) 238-2100

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
I20190515002970 NY Practitioner - Nurse Practitioner 7517200470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadian Medical Health PCGroup PAC ID 6800388372, 33 clinicians
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians

Practice addresses (Care Compare)

476 Christian Herald Rd
Valley Cottage, NY 10989-2230
Phone (845) 354-1212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F343264NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC CurrentSince Oct 1, 2020 Accepting new patients
Care Connect Medical P.C. CurrentSince Sep 1, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

707 Throggs Neck Expy
Bronx, NY 10465
Phone (718) 430-0003

87 S Route 9W
Haverstraw, NY 10927
Phone (845) 429-5381

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

33 Downtown Dr
Fl 3
Monsey, NY 10952
Phone (201) 357-1520

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

225 Maple Ave
Monsey, NY 10952
Phone (845) 352-9000

661 N Main St
Spring Valley, NY 10977
Phone (845) 426-5600

476 Christian Herald Rd
Vly Cottage, NY 10989
Phone (845) 268-6861

Networks

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

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": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1548532484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046081",
            "telephone_number": "718-238-2100",
            "fax_number": "718-748-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046081",
            "telephone_number": "718-238-2100",
            "fax_number": "718-748-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANLUS",
        "first_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.