Individual provider Active NPI

Nicole Lesnett

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1710649884
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348464 Issued in NY
Practice address
3209 3Rd Ave
Bronx, NY 10451-4203
Phone
(347) 284-0203
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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 348464 NY Primary

Addresses

Primary practice location

3209 3Rd Ave
Bronx, NY 10451-4203

Mailing address

852 Prospect Place
Ground Floor
Brooklyn, NY 11216-4030
Phone (415) 827-3121

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
I20221118001704 NY Practitioner - Nurse Practitioner 9537537725 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348464NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Health Plan, Inc. CurrentSince Jul 14, 2022 Accepting new patients
City of New York Office of Payroll Administration CurrentSince Oct 20, 2025 Accepting new patients
Urban Health Plan, Inc. CurrentSince Jul 14, 2022 Accepting new patients
City of New York Office of Payroll Administration CurrentSince Oct 20, 2025 Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients

Locations

1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600

3209 3rd Ave
Bronx, NY 10451
Phone (347) 284-0203

1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222

1218 Prospect Pl
#M
Brooklyn, NY 11213
Phone (718) 953-8208

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

3433 Junction Blvd
Fl 2
Jackson Heights, NY 11372
Phone (718) 396-5134

9037 Parsons Blvd
Jamaica, NY 11432
Phone (718) 262-5521

2238 5th Ave
New York, NY 10037
Phone (646) 698-4405

600 W 168th St
New York, NY 10032
Phone (212) 566-3587

Organizations & group practices 7

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1710649884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 PROSPECT PLACE",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164030",
            "telephone_number": "415-827-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514203",
            "telephone_number": "347-284-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNETT",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.