YETUNDE BAMISAYO BAMISILE LMSW
NPI 1124665609
Social Worker in Staten Island, NY
About Yetunde Bamisayo Bamisile Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YETUNDE BAMISAYO BAMISILE LMSW (NPI 1124665609) is an individual social worker in Staten Island, New York, licensed in New York (108299-01) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yetunde Bamisayo Bamisile Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Yetunde Bamisile reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10016
- Reassigned Medicare billing, New York enrollment
- 12 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Brightside Medical PC
- 42 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.
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.
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 Yetunde Bamisile's NPI number?
The NPI number for Yetunde Bamisile is 1124665609. It was assigned to this individual provider in the NPPES registry on December 4, 2019.
Where is Yetunde Bamisile located?
Yetunde Bamisile practices at 1765 South Ave, Staten Island, NY 10314. The listed phone number is (718) 761-9800.
What is Yetunde Bamisile's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Yetunde Bamisile enrolled in Medicare?
Yes. Yetunde Bamisile is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Yetunde Bamisile's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yetunde Bamisile reassigns Medicare benefits to 2 organizations: Osier Health PC (New York, NY) and Brightside Medical, P.C. (San Francisco, CA). 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 Yetunde Bamisile's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yetunde Bamisile accept?
Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Yetunde Bamisile 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 Yetunde Bamisile was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Yetunde Bamisayo Bamisile, LMSW · NPI 1124665609
Social Worker provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since December 4, 2019.
## Identity
- **NPI:** 1124665609 (Entity type: Individual)
- **Enumerated:** December 4, 2019
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 108299-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1765 SOUTH AVE, Staten Island, NY 10314-3604
- **Phone:** (718) 761-9800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Osier Health PC (NPI 1841909157, New York, NY); Brightside Medical, P.C. (NPI 1508325184, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124665609) · Data from the CMS NPPES public registry.