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YALISSA TAVERAS NURSE PRACTITIONER
NPI 1215690896
Nurse Practitioner - Family in Lake Success, NY

Active since October 20, 2021PECOS Enrolled
2001 MARCUS AVENUE, SUITE W290, LAKE SUCCESS, NY 11042(516) 465-5255(718) 347-2240 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2022, Oct 20, 2021 (2 updates tracked since 2021).

About Yalissa Taveras Nurse Practitioner NPPES

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

YALISSA TAVERAS NURSE PRACTITIONER (NPI 1215690896) is an individual family provider in Lake Success, New York, licensed in New York (348494) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215690896
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYALISSA TAVERASCredential: NURSE PRACTITIONER
Location Address2001 MARCUS AVENUE, SUITE W290Lake Success, NY 11042
Mailing Address2001 Marcus Avenue, Suite W290Lake Success, NY 11042 · (516) 465-5255 · Fax (718) 347-2240
Phone(516) 465-5255
Fax(718) 347-2240
Sole ProprietorYes
Enumeration DateOctober 20, 2021
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1215690896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 348494
2001 MARCUS AVENUE, Lake Success, NY 11042
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yalissa Taveras Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PERRY J MILMAN MD PC
Internal Medicine (Gastroenterology)
2001 MARCUS AVENUE, SUITE N18
LAKE SUCCESS, NY 11042
Nassau County (516) 775-7770
CARDIOVASCULAR WELLNESS SPECIALTY CARE PC
Internal Medicine (Cardiovascular Disease)
2001 MARCUS AVENUE, SUITE N210
LAKE SUCCESS, NY 11042
Nassau County (516) 354-3278
DR. BRADLEY MICHAEL MORGANSTERN M.D.
Internal Medicine (Gastroenterology)
2001 MARCUS AVENUE, SUITE S265
LAKE SUCCESS, NY 11042
Nassau County (516) 686-0500
BRIAN D FEINGOLD MD
Internal Medicine
2001 MARCUS AVENUE, SUITE N100
LAKE SUCCESS, NY 11042
Nassau County (516) 365-1092
SUSAN RAMDHANEY MD PC
Internal Medicine (Gastroenterology)
2001 MARCUS AVENUE, SUITE N210
LAKE SUCCESS, NY 11042
Nassau County (914) 437-5850
MARC A. BRENNER, D.P.M., PLLC
Podiatrist
2001 MARCUS AVENUE
LAKE SUCCESS, NY 11042
Nassau County (516) 355-2277

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 Yalissa Taveras's NPI number?

The NPI number for Yalissa Taveras is 1215690896. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Yalissa Taveras located?

Yalissa Taveras practices at 2001 Marcus Avenue Suite W290, Lake Success, NY 11042. The listed phone number is (516) 465-5255.

What is Yalissa Taveras's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Yalissa Taveras enrolled in Medicare?

Yes. Yalissa Taveras is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yalissa Taveras was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.