Yesenia Andre, PTA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F343606-1 Issued in NY

Practice address

936 Hastings St
Baldwin, NY 11510-4738

Phone

(917) 476-8239

NPI assigned

Aug 22, 2011

Last updated

Jan 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yesenia.andre.1@24989.direct.athenahealth.com
• Direct secure messaging: yesenia.andre@ghuc.eclinicaldirectplus.com

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.

• North Shore Lij, Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Rockville Centre, NY
  • NPI 1679970891
  Medicare reassignment Care Compare group NPD
• 210 MJD Medical, PLLC

  dba Silver star urgent care

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1750712220
  Medicare reassignment NPD
• O and a Pharmacy Corp

  dba Wyckoffs Corner Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1386703387
  NPD (past)

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1831479864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 HASTINGS ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104738",
            "telephone_number": "917-476-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 HASTINGS ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104738",
            "telephone_number": "917-476-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRE",
        "first_name": "YESENIA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343606-1",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "002776-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All South Shore Medical Supply Inc
• Jeannette Alomia, M.S., LMHC
• Lisa M. Alongi, PSY.D.
• Alvin Horing DDS PC
• Maura Ellen Anderson, L.M.T.
• Yves Anglade, R.N
• William Akwasi Ankobiah, MD, FACP, FCCP
• Maria Del Carmen Antoine, PH.D.
• Irene Apostolou, RPH
• Oliver P Archibald, MD

• Family Nurse Practitioner in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.