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MS. IZEHI AGENMONMEN EROMOSELE NP
NPI 1003124660
Nurse Practitioner - Family in Brooklyn, NY

Active since September 16, 2010PECOS Enrolled
539 VANDALIA AVE, BROOKLYN, NY 11239(718) 642-3213 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Izehi Agenmonmen Eromosele Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. IZEHI AGENMONMEN EROMOSELE NP (NPI 1003124660) is an individual family provider in Brooklyn, New York, licensed in New York (341154) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003124660
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. IZEHI AGENMONMEN EROMOSELECredential: NP
Location Address539 VANDALIA AVEBrooklyn, NY 11239-2810
Mailing Address539 Vandalia AveBrooklyn, NY 11239-2853 · (646) 287-0094 · Fax (800) 707-8708
Phone(718) 642-3213
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 16, 2010
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1003124660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 341154✔ Licensed in NY · 341154-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 580957 (NY)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 405807 (NY)
539 VANDALIA AVE, Brooklyn, NY 11239
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Oscar Health, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Izehi Agenmonmen Eromosele Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921435579
PECOS Enrollment IDI20251030004289
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Izehi Eromosele reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York City Health And Hospitals Corporation
1.6 mi
Clinic/Center
2094 PITKIN AVE
Brooklyn, NY 11207
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1063577831 (718) 240-0559
Brookview Medical Associates, PLLC
41 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800
Grow Healthcare Group PA
1,088 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona, New Mexico, New York and Oregon enrollments
  • 532 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Izehi Eromosele's NPI number?

The NPI number for Izehi Eromosele is 1003124660. It was assigned to this individual provider in the NPPES registry on September 16, 2010.

Where is Izehi Eromosele located?

Izehi Eromosele practices at 539 Vandalia Ave, Brooklyn, NY 11239. The listed phone number is (718) 642-3213.

What is Izehi Eromosele's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Izehi Eromosele enrolled in Medicare?

Yes. Izehi Eromosele is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Izehi Eromosele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Izehi Eromosele reassigns Medicare benefits to 3 organizations: New York City Health And Hospitals Corporation (Brooklyn, NY), Brookview Medical Associates, PLLC (Bohemia, NY) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Izehi Eromosele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Izehi Eromosele accept?

Health plans from BridgeSpan Health Company, Oscar Health, Oscar Health Plan, Inc., Oscar Insurance Company and Providence Health Plan and 2 other insurers list Izehi Eromosele as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Izehi Eromosele was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.