MRS. JENIECE GERONIMO PMHNP
NPI 1053031310
Nurse Practitioner - Psychiatric/Mental Health in New Haven, CT
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jeniece Geronimo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06519
- Reassigned Medicare billing, Connecticut enrollment
- 468 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 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.
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.
NEW HAVEN, CT 06511
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.
Which organization bills Medicare for Jeniece Geronimo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeniece Geronimo reassigns Medicare benefits to Cornell Scott Hill Health Corporation (New Haven, CT). The 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 Jeniece Geronimo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeniece Geronimo accept?
Health plans from Anthem Blue Cross and Blue Shield list Jeniece Geronimo 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 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.
# Mrs. Jeniece Geronimo, PMHNP · NPI 1053031310
Psychiatric/Mental Health physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since August 29, 2022.
## Identity
- **NPI:** 1053031310 (Entity type: Individual)
- **Enumerated:** August 29, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 11208 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 226 DIXWELL AVE, New Haven, CT 06511-3456
- **Phone:** (203) 503-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cornell Scott Hill Health Corporation (NPI 1902921380, New Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1053031310) · Data from the CMS NPPES public registry.