SEMONE PEREZ FNP
NPI 1073023388
Nurse Practitioner - Family in New York, NY
About Semone Perez Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEMONE PEREZ FNP (NPI 1073023388) is an individual family provider in New York, New York, licensed in New York (F342096) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Semone Perez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Semone Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Inwood, NY 11096
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: South Shore Family Medical Associates PC
- 24 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 10018 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10018
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 Semone Perez's NPI number?
The NPI number for Semone Perez is 1073023388. It was assigned to this individual provider in the NPPES registry on October 2, 2017.
Where is Semone Perez located?
Semone Perez practices at 1065 Avenue Of The Americas Fl 5, New York, NY 10018. The listed phone number is (917) 780-4930.
What is Semone Perez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Semone Perez enrolled in Medicare?
Yes. Semone Perez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Semone Perez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Semone Perez reassigns Medicare benefits to South Shore Family Medical Associates, P.C. (Inwood, NY). 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 Semone Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Semone Perez was last updated on October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Semone Perez, FNP · NPI 1073023388
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since October 2, 2017.
## Identity
- **NPI:** 1073023388 (Entity type: Individual)
- **Enumerated:** October 2, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F342096 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1065 AVENUE OF THE AMERICAS FL 5, New York, NY 10018-0850
- **Phone:** (917) 780-4930
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Shore Family Medical Associates, P.C. (NPI 1720122716, Inwood, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** October 2, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1073023388) · Data from the CMS NPPES public registry.