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

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
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: August 02, 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
Phone(917) 364-0995
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Liandra Waisome Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

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.

MS. LOIS A TOBIN FNP
Nurse Practitioner (Family)
1 PENN PLZ, 7TH FLOOR SUITE 725
NEW YORK, NY 10119
New York County (800) 842-2478
D'ARLENE CAMPBELL NP
Nurse Practitioner (Family)
1 PENN PLZ, SUITE 725
NEW YORK, NY 10119
New York County (516) 451-7504
GALE Y BLAKLEY MD
Obstetrics & Gynecology
1 PENN PLZ
NEW YORK, NY 10119
New York County (763) 957-6261
MRS. ELSAMMA ABRAHAM ANP
Nurse Practitioner
1 PENN PLZ, 8TH FLOOR
NEW YORK, NY 10119
New York County (646) 627-3803
MR. DANIEL JOSEPH MAUGHAN FNP
Nurse Practitioner (Family)
1 PENN PLZ
NEW YORK, NY 10119
New York County (646) 306-4778
MRS. JOAN W CASSIDY FNP
Nurse Practitioner (Family)
1 PENN PLZ
NEW YORK, NY 10119
New York County (212) 216-6827
ROSIE M. MALCOLM NP
Nurse Practitioner (Family)
1 PENN PLZ, 7TH FLOOR, SUITE 725
NEW YORK, NY 10119
New York County (800) 842-2478
LISA MARIE BUZZETTA
Social Worker
1 PENN PLZ
NEW YORK, NY 10119
New York County (347) 935-4686

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 40 days 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.