ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC
NPI 1093433898
Nurse Practitioner - Psychiatric/Mental Health in Valley Stream, NY
About Envision Psychiatric Nurse Practitioner Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC (NPI 1093433898) is a healthcare organization registered as a psychiatric/mental health in Valley Stream, New York and active in the NPI registry since August 2022. The organization lists Tamara Gordon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Envision Psychiatric Nurse Practitioner Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Envision Psychiatric Nurse Practitioner PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Envision Psychiatric Nurse Practitioner PLLC's NPI number?
The NPI number for Envision Psychiatric Nurse Practitioner PLLC is 1093433898. It was assigned to this organization in the NPPES registry on August 17, 2022.
Where is Envision Psychiatric Nurse Practitioner PLLC located?
Envision Psychiatric Nurse Practitioner PLLC is located at 70 E Sunrise Hwy Ste 500, Valley Stream, NY 11581. The listed phone number is (516) 988-0974.
What is Envision Psychiatric Nurse Practitioner PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Envision Psychiatric Nurse Practitioner PLLC enrolled in Medicare?
Yes. Envision Psychiatric Nurse Practitioner PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Envision Psychiatric Nurse Practitioner PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Envision Psychiatric Nurse Practitioner PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Envision Psychiatric Nurse Practitioner PLLC was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Envision Psychiatric Nurse Practitioner Pllc · NPI 1093433898
Psychiatric/Mental Health organization in Valley Stream, New York. Organization record, active in the CMS NPPES registry since August 17, 2022.
## Identity
- **NPI:** 1093433898 (Entity type: Organization)
- **Enumerated:** August 17, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Tamara Gordon, OWNER
## Practice location
- **Address:** 70 E SUNRISE HWY STE 500, Valley Stream, NY 11581-1233
- **Phone:** (516) 988-0974
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093433898) · Data from the CMS NPPES public registry.