Individual provider Active NPI

Nica Chery-Mompremier, CPNP

  • School Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1598861825
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
F380927 Issued in NY
Practice address
87-41 Parsons Blvd Room 102
School Board Health Clinic P.S86
Jamaica, NY 11432
Phone
(718) 526-3589
Fax
(718) 297-0298
NPI assigned
Sep 15, 2006
Last updated
Aug 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X F380927 NY Primary

Addresses

Primary practice location

87-41 Parsons Blvd Room 102
School Board Health Clinic P.S86
Jamaica, NY 11432

Mailing address

82-68 164TH Street Pavilion Room 113
Queens Hospital Center
Queens, NY 11432
Phone (718) 883-4500

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

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
I20210616002260 NY Practitioner - Nurse Practitioner 3375834518 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F380927NYMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Mar 16, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 16, 2021 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients

Locations

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

8268 164th St
Rm 113
Jamaica, NY 11432

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

8741 Parsons Blvd
Rm 102
Jamaica, NY 11432
Phone (718) 526-3589

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

50 Water St
Fl 3
New York, NY 10004

Networks

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

Interoperability endpoints

  • Direct secure messaging: ncherymompremier9260@nychhc.direct-ci.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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1598861825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82-68 164TH STREET PAVILION ROOM 113",
            "address_2": "QUEENS HOSPITAL CENTER",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-883-4500",
            "fax_number": "718-883-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-41 PARSONS BLVD ROOM 102",
            "address_2": "SCHOOL BOARD HEALTH CLINIC P.S86",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-526-3589",
            "fax_number": "718-297-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERY-MOMPREMIER",
        "first_name": "NICA",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "NY",
            "license": "F380927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.