MRS. EREWARIFAGHA MININI HAIDOME PMHNP-BC
NPI 1114301728
Nurse Practitioner - Psychiatric/Mental Health in Jamaica, NY
About Mrs. Erewarifagha Minini Haidome Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. EREWARIFAGHA MININI HAIDOME PMHNP-BC (NPI 1114301728) is an individual psychiatric/mental health provider in Jamaica, New York, licensed in New York (403564) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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
Mrs. Erewarifagha Minini Haidome Pmhnp-bc 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.
Medicare Billing Reassignments
7Medicare enrollment records show Erewarifagha Haidome reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jamaica, NY 11434
- Reassigned Medicare billing, New York enrollment
- 4 clinicians in this Medicare group
Jamaica, NY 11423
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- 1,054 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Bronx Medical Practice PC
- 1,013 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 272 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
Mount Vernon, NY 10553
- Reassigned Medicare billing, New York enrollment
- 46 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 11434 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Erewarifagha Haidome's NPI number?
The NPI number for Erewarifagha Haidome is 1114301728. It was assigned to this individual provider in the NPPES registry on July 13, 2015. The provider is also known as Miss Erewari Minini Peterside Nurse Practitioner.
Where is Erewarifagha Haidome located?
Erewarifagha Haidome practices at 14036 170th St, Jamaica, NY 11434. The listed phone number is (347) 843-7760.
What is Erewarifagha Haidome's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Erewarifagha Haidome enrolled in Medicare?
Yes. Erewarifagha Haidome 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 Erewarifagha Haidome's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erewarifagha Haidome reassigns Medicare benefits to 7 organizations: Rimisac Family Health Np PC (Jamaica, NY), Essen Medical Associates,pc (Jamaica, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY), Shakespeare Operating LLC (Bronx, NY) and 2 more organizations, listed in the Medicare section above. 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 Erewarifagha Haidome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erewarifagha Haidome accept?
Health plans from Oscar Health list Erewarifagha Haidome 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 Erewarifagha Haidome was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Erewarifagha Minini Haidome, PMHNP-BC · NPI 1114301728
Psychiatric/Mental Health physician in Jamaica, New York. Individual provider, active in the CMS NPPES registry since July 13, 2015.
## Identity
- **NPI:** 1114301728 (Entity type: Individual)
- **Enumerated:** July 13, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 403564 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 14036 170TH ST, Jamaica, NY 11434-4632
- **Phone:** (347) 843-7760
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Rimisac Family Health Np PC (NPI 1083020242, Jamaica, NY); Essen Medical Associates,pc (NPI 1700023926, Jamaica, NY); House Call Medical Services Of New York, PLLC (NPI 1851345946, Bronx, NY); Bronx Medical Practice P.C. (NPI 1356726087, Bronx, NY); Shakespeare Operating LLC (NPI 1720634538, Bronx, NY); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 2, 2023
- **Other identifiers:** Other 1114301728 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1114301728) · Data from the CMS NPPES public registry.