MISS JERCIENNE LAURENCIN NP
NPI 1215360177
Nurse Practitioner - Adult Health in Brooklyn, NY
About Miss Jercienne Laurencin Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS JERCIENNE LAURENCIN NP (NPI 1215360177) is an individual adult health provider in Brooklyn, New York, licensed in New York (F306028) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Jercienne Laurencin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jercienne Laurencin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11205
- Reassigned Medicare billing, New York enrollment
- 15 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 11217 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 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 Jercienne Laurencin's NPI number?
The NPI number for Jercienne Laurencin is 1215360177. It was assigned to this individual provider in the NPPES registry on August 14, 2013.
Where is Jercienne Laurencin located?
Jercienne Laurencin practices at 650 Fulton St, Brooklyn, NY 11217. The listed phone number is (718) 596-9800.
What is Jercienne Laurencin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jercienne Laurencin enrolled in Medicare?
Yes. Jercienne Laurencin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jercienne Laurencin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jercienne Laurencin reassigns Medicare benefits to Whitman Ingersoll Farragut Health Center (Brooklyn, NY). The 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 Jercienne Laurencin'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 Jercienne Laurencin was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Miss Jercienne Laurencin, NP · NPI 1215360177
Adult Health physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since August 14, 2013.
## Identity
- **NPI:** 1215360177 (Entity type: Individual)
- **Enumerated:** August 14, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F306028 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 FULTON ST, Brooklyn, NY 11217-1517
- **Phone:** (718) 596-9800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Whitman Ingersoll Farragut Health Center (NPI 1619366978, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1215360177) · Data from the CMS NPPES public registry.