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PHYLLIS JEAN PASS NP
NPI 1114125507
Nurse Practitioner - Adult Health in New York, NY

Active since July 06, 2007PECOS Enrolled
100 E 77TH ST, NEW YORK, NY 10021(212) 434-2132 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phyllis Jean Pass Np NPPES

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

PHYLLIS JEAN PASS NP (NPI 1114125507) is an individual adult health provider in New York, New York, licensed in New York (F304255-1) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1114125507
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NamePHYLLIS JEAN PASSCredential: NP
Location Address100 E 77TH STNew York, NY 10021-1850
Mailing Address103 School StPiscataway, NJ 08854-5920 · (732) 572-0572
Phone(212) 434-2132
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114125507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F304255-1
100 E 77TH ST, New York, NY 10021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis Jean Pass Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325931074
PECOS Enrollment IDI20260313002042
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

2

Medicare enrollment records show Phyllis Pass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health Medical Associates Of New Jersey, LLC
38 mi
General Practice
116 VILLAGE BLVD STE 200
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 421 clinicians in this Medicare group
NPI 1174187728 (877) 868-5351
Signify Health Medical Associates, PLLC
1,373 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

DR. DAVID S. WEISS PHD
Specialist/Technologist, Other (EEG)
100 E 77TH ST
NEW YORK, NY 10021
New York County (917) 209-9545
MICHAEL R. DALLOS MD
Internal Medicine
100 E 77TH ST
NEW YORK, NY 10021
New York County (212) 434-2650
LENOX HILL HOSPITAL
General Acute Care Hospital (Children)
100 E 77TH ST
NEW YORK, NY 10021
New York County (212) 434-2842
PARK LENOX PEDIATRIC PC
Pediatrics
100 E 77TH ST
NEW YORK, NY 10021
New York County (212) 434-2136
MAURO P MARCELO III CRNA
Nurse Anesthetist, Certified Registered
100 E 77TH ST
NEW YORK, NY 10021
New York County (212) 434-2878
LENOX HILL HOSPITAL
General Acute Care Hospital
100 E 77TH ST
NEW YORK, NY 10021
New York County (212) 434-2710
ROGER L LALLEMAND MD
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10021
New York County (212) 434-2878
LENOX HILL HOSPITAL
Nurse Practitioner (Neonatal)
100 E 77TH ST
NYC, NY 10021
New York County (212) 434-2565

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 Phyllis Pass's NPI number?

The NPI number for Phyllis Pass is 1114125507. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Phyllis Pass located?

Phyllis Pass practices at 100 E 77th St, New York, NY 10021. The listed phone number is (212) 434-2132.

What is Phyllis Pass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Phyllis Pass enrolled in Medicare?

Yes. Phyllis Pass is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Phyllis Pass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Pass reassigns Medicare benefits to 2 organizations: Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Phyllis Pass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phyllis Pass accept?

Health plans from CareSource (Common Ground Healthcare) list Phyllis Pass 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 Phyllis Pass was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.