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MRS. JENIECE GERONIMO PMHNP
NPI 1053031310
Nurse Practitioner - Psychiatric/Mental Health in New Haven, CT

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
226 DIXWELL AVE, NEW HAVEN, CT 06511(203) 503-3000 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2022, Aug 29, 2022 (2 updates tracked since 2022).

About Mrs. Jeniece Geronimo Pmhnp NPPES

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

MRS. JENIECE GERONIMO PMHNP (NPI 1053031310) is an individual psychiatric/mental health provider in New Haven, Connecticut, licensed in Connecticut (11208) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053031310
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JENIECE GERONIMOCredential: PMHNP
Location Address226 DIXWELL AVENew Haven, CT 06511-3456
Mailing Address55 Evelyn Pl Apt 1eBronx, NY 10468-6961
Phone(203) 503-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2022
Last NPPES UpdateDecember 1, 20222 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1053031310 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
Licenses✔ Licensed in CT · 11208✔ Licensed in NY · 404431
Also ListedRegistered NurseTaxonomy 163W00000X · License 698659 (NY), 129255 (CT)
226 DIXWELL AVE, New Haven, CT 06511
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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

Mrs. Jeniece Geronimo Pmhnp 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 ID3971972787
PECOS Enrollment IDI20221216000789
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 06511 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

MRS. CRYSTAL LOWERY
Social Worker
226 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3000
AARON C SELTZER
Social Worker (Clinical)
226 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3470
MS. JESSICA HERMS LCSW
Social Worker (Clinical)
226 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 214-0988
REBECCA ANNE BATCHELDER APRN
Nurse Practitioner (Primary Care)
226 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3000
MRS. CHRISTINE E DUFFY LPC
Counselor (Professional)
226 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3470
JULIE RYDER
Counselor
226 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3470
SHARON P MYERS
Counselor
226 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3460
JASON CROWELL LADC/LMSW
Counselor (Addiction (Substance Use Disorder))
226 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (475) 224-9229

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 Jeniece Geronimo's NPI number?

The NPI number for Jeniece Geronimo is 1053031310. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Jeniece Geronimo located?

Jeniece Geronimo practices at 226 Dixwell Ave, New Haven, CT 06511. The listed phone number is (203) 503-3000.

What is Jeniece Geronimo's specialty?

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

Is Jeniece Geronimo enrolled in Medicare?

Yes. Jeniece Geronimo 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 Jeniece Geronimo was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.