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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MITZY C PLACENCIA FNP
NPI 1093176067
Nurse Practitioner - Family in Tarrytown, NY

Active since March 17, 2016PECOS Enrolled
200 S BROADWAY STE 2-6, TARRYTOWN, NY 10591(347) 674-3635(949) 890-4931 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 30, 2026, Mar 17, 2016 (2 updates tracked since 2016).

About Mitzy C Placencia Fnp NPPES

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

MITZY C PLACENCIA FNP (NPI 1093176067) is an individual family provider in Tarrytown, New York, licensed in New York (F340498-1) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093176067
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMITZY C PLACENCIACredential: FNP
Location Address200 S BROADWAY STE 2-6Tarrytown, NY 10591-4500
Mailing Address910 Riverside Drive, Suite CNew York, NY 10032 · (212) 568-9800
Phone(347) 674-3635
Fax(949) 890-4931
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 17, 2016
Last NPPES UpdateOctober 30, 20262 updates tracked since enumeration
NPPES CertifiedOctober 30, 2026
✔ NPI 1093176067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F340498-1
200 S BROADWAY STE 2-6, Tarrytown, NY 10591
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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

Mitzy C Placencia Fnp 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 ID7810285269
PECOS Enrollment IDI20161018001021
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mitzy Placencia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Placencia Family Health Nurse Practitioner PLLC
Same address
Family
200 S BROADWAY STE 2-6
Tarrytown, NY 10591
  • Reassigned Medicare billing, New York enrollment
NPI 1083589741 (347) 674-3635
Perry Ave Family Medical Center Inc
15 mi
Family Medicine
3071 PERRY AVE
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 82 clinicians in this Medicare group
NPI 1619973518 (718) 231-6700
Schweiger Dermatology PLLC
23 mi
Dermatology
110 E 55TH ST FL 14
New York, NY 10022
  • Reassigned Medicare billing, New York enrollment
  • 187 clinicians in this Medicare group
NPI 1831438662 (929) 470-5354

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 10591 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANA GUERRA MD
Family Medicine
200 S BROADWAY STE 2-6
TARRYTOWN, NY 10591
Westchester County (914) 506-9573
PLACENCIA FAMILY HEALTH NURSE PRACTITIONER PLLC
Nurse Practitioner (Family)
200 S BROADWAY STE 2-6
TARRYTOWN, NY 10591
Westchester County (347) 674-3635
AG MEDICAL WELLNESS
Family Medicine
200 S BROADWAY STE 2-6
TARRYTOWN, NY 10591
Westchester County (914) 506-9573

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 Mitzy Placencia's NPI number?

The NPI number for Mitzy Placencia is 1093176067. It was assigned to this individual provider in the NPPES registry on March 17, 2016.

Where is Mitzy Placencia located?

Mitzy Placencia practices at 200 S Broadway Ste 2-6, Tarrytown, NY 10591. The listed phone number is (347) 674-3635.

What is Mitzy Placencia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mitzy Placencia enrolled in Medicare?

Yes. Mitzy Placencia 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 organizations bill Medicare for Mitzy Placencia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitzy Placencia reassigns Medicare benefits to 3 organizations: Placencia Family Health Nurse Practitioner PLLC (Tarrytown, NY), Perry Ave Family Medical Center Inc (Bronx, NY) and Schweiger Dermatology PLLC (New York, NY). Each 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 Mitzy Placencia'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 Mitzy Placencia was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.