Individual provider Active NPI

Kemeisha Patterson, RN

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1659841583
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F348642-01 Issued in NY
Practice address
30 Broad St FL 45
New York, NY 10004-2942
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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 F348642-01 NY Primary

Addresses

Primary practice location

30 Broad St FL 45
New York, NY 10004-2942

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

89 Bartlett St
Brooklyn, NY 11206-4463
Phone (718) 387-8181

Other practice location 2

1210 Webster Ave
Bronx, NY 10456-4208
Phone (646) 612-7747

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
I20220926002132 NY Practitioner - Nurse Practitioner 0446634356 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians
Island Urgent Care PLLCGroup PAC ID 1355636440, 17 clinicians

Practice addresses (Care Compare)

1842 Old Country Rd
Riverhead, NY 11901-4461
Phone (631) 830-4175

2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone (516) 346-5090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F348642-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Urgent Care, PLLC CurrentSince Aug 15, 2023 Accepting new patients
Nassau Suffolk Medical PLLC CurrentSince Aug 17, 2025 Accepting new patients
Divinity Medical Services PLLC CurrentSince Jun 8, 2022 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Aug 29, 2025 Accepting new patients
Modern Physician Services PC CurrentSince Dec 2, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jul 3, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jul 3, 2023 Accepting new patients
A.P. New York Comprehensive Medical Care PC PastSince Apr 28, 2024 Accepting new patients

Locations

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

1210 Webster Ave
Bronx, NY 10456
Phone (646) 612-7747

68 Graham Ave
Brooklyn, NY 11206
Phone (646) 604-8120

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

266 Bangor St
Lindenhurst, NY 11757

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

85 Broad St
Fl 18
New York, NY 10004
Phone (617) 750-2464

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

1842 Old Country Rd
Riverhead, NY 11901
Phone (631) 830-4175

103 Jackson Ave
#B
Syosset, NY 11791
Phone (516) 537-9062

125 Sunrise Hwy
West Islip, NY 11795
Phone (631) 376-6075

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • Direct secure messaging: kemeisha.patterson@ghuc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1659841583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BROAD ST FL 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042942",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Bartlett St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112064463",
            "country_code": "US",
            "telephone_number": "718-387-8181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104564208",
            "country_code": "US",
            "telephone_number": "646-612-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KEMEISHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348642-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.