LIANDRA WAISOME NP
NPI 1023451390
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since April 16, 2013PECOS Enrolled
1 PENN PLZ, SUITE 725, NEW YORK, NY 10119(917) 364-0995 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Liandra Waisome Np NPPES

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

LIANDRA WAISOME NP (NPI 1023451390) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (404430) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1023451390
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLIANDRA WAISOMECredential: NP
Location Address1 PENN PLZ, SUITE 725New York, NY 10119-0002
Mailing Address1 Penn Plz, Suite 725New York, NY 10119-0002
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 16, 2013
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1023451390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404430
Also ListedNurse PractitionerTaxonomy 363L00000X · License 306370 (NY), 340897 (NY)
1 PENN PLZ, New York, NY 10119

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liandra Waisome Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517198575
PECOS Enrollment IDI20190812002697
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

4

Medicare enrollment records show Liandra Waisome reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
120 W 106TH ST, ATTN MEDICAL DEPT
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 30 clinicians in this Medicare group
Psychiatric/Mental Health
469 DELAFIELD AVE
Staten Island, NY 10310
  • Reassigned Medicare billing, New York enrollment
Psychiatry
955 YONKERS AVE STE 102
Yonkers, NY 10704
  • Reassigned Medicare billing, New York enrollment
  • 73 clinicians in this Medicare group
Clinic/Center
1887 RICHMOND AVE STE 5
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group

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 10119 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1 PENN PLZ, 7TH FLOOR SUITE 725
NEW YORK, NY 10119
Nurse Practitioner (Family)
1 PENN PLZ, SUITE 725
NEW YORK, NY 10119
Obstetrics & Gynecology
1 PENN PLZ
NEW YORK, NY 10119
Nurse Practitioner
1 PENN PLZ, 8TH FLOOR
NEW YORK, NY 10119
Nurse Practitioner (Family)
1 PENN PLZ
NEW YORK, NY 10119
Nurse Practitioner (Family)
1 PENN PLZ
NEW YORK, NY 10119
Nurse Practitioner (Family)
1 PENN PLZ, 7TH FLOOR, SUITE 725
NEW YORK, NY 10119
Social Worker
1 PENN PLZ
NEW YORK, NY 10119

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 Liandra Waisome's NPI number?

The NPI number for Liandra Waisome is 1023451390. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Liandra Waisome located?

Liandra Waisome practices at 1 Penn Plz Suite 725, New York, NY 10119. The listed phone number is (917) 364-0995.

What is Liandra Waisome's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Liandra Waisome enrolled in Medicare?

Yes. Liandra Waisome is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Liandra Waisome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liandra Waisome reassigns Medicare benefits to 4 organizations: Jewish Home Lifecare, Manhattan (New York, NY), Liandra Waisome Nurse Practitioner In Psychiatry, PLLC (Staten Island, NY), Sehwan Medical Care PLLC (Yonkers, NY) and A Friendly Face Akademy Corp. (Staten Island, NY). 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 Liandra Waisome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Liandra Waisome accept?

Health plans from Oscar Health list Liandra Waisome 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 Liandra Waisome was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.