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JAZMIN CACERES
NPI 1063804904
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Active since March 02, 2015PECOS Enrolled
1400 PELHAM PKWY S, BRONX, NY 10461(646) 241-1936(213) 609-0922 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jazmin Caceres NPPES

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

JAZMIN CACERES (NPI 1063804904) is an individual psychiatric/mental health provider in Bronx, New York, licensed in New York (401756) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063804904
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJAZMIN CACERES
Location Address1400 PELHAM PKWY SBronx, NY 10461-1138
Mailing Address1400 Pelham Pkwy SBronx, NY 10461-1138 · (646) 241-1936 · Fax (213) 609-0922
Phone(646) 241-1936
Fax(213) 609-0922
Sole ProprietorYes
Enumeration DateMarch 2, 2015
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1063804904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 401756
Also ListedRegistered NurseTaxonomy 163W00000X · License 591181 (NY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 343374 (NY)
1400 PELHAM PKWY S, Bronx, NY 10461
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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 (PECOS)

Jazmin Caceres is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10461 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.

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.

CAROLYN COLE
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5820
RYAN JOHNY PHARM. D
Pharmacist
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-4557
DR. SARAH G JAMISON MD
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461
Bronx County (718) 918-5820
SWETHA PEDAVALLY M.D
Psychiatry & Neurology (Clinical Neurophysiology)
1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461
Bronx County (718) 918-7460
MS. ODESSA FYNN CM
Midwife
1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461
Bronx County (718) 918-3060
DR. PATRICK SPENCER EIBEN M.D.
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461
Bronx County (718) 918-5820
DR. ADAM JOSEPH GERSHON MD
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5000
EDIRICARDO RODRIGUEZ ORTIZ MD
Anesthesiology
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5000

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 Jazmin Caceres's NPI number?

The NPI number for Jazmin Caceres is 1063804904. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Jazmin Caceres located?

Jazmin Caceres practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (646) 241-1936.

What is Jazmin Caceres's specialty?

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

Is Jazmin Caceres enrolled in Medicare?

Yes. Jazmin Caceres is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jazmin Caceres was last updated on February 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.