IVELISSE JULIANA CAPELLAN NP
NPI 1215694104
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since November 26, 2021PECOS Enrolled
629 W 185TH ST, NEW YORK, NY 10033(212) 543-3500(212) 568-0051 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2024, Nov 26, 2021 (2 updates tracked since 2021).

About Ivelisse Juliana Capellan Np NPPES

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

IVELISSE JULIANA CAPELLAN NP (NPI 1215694104) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (F405446-01) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215694104
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIVELISSE JULIANA CAPELLANCredential: NP
Location Address629 W 185TH STNew York, NY 10033-3102
Mailing Address629 W 185th St Fl 3New York, NY 10033-3102 · (212) 543-3500 · Fax (212) 568-0051
Fax(212) 568-0051
Sole ProprietorNo
Enumeration DateNovember 26, 2021
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1215694104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F405446-01
629 W 185TH ST, New York, NY 10033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivelisse Juliana Capellan Np 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.

Medicare Billing Reassignments

2

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

Psychiatry
629 W 185TH ST, SUITE 3
New York, NY 10033
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
Psychiatric/Mental Health
7 MARCUS GARVEY BLVD STE 427
Brooklyn, NY 11206
  • Reassigned Medicare billing, New York enrollment
  • 11 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 10033 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.

Physician Assistant
629 W 185TH ST
NEW YORK, NY 10033
Internal Medicine
629 W 185TH ST
NEW YORK, NY 10033
Pediatrics (Adolescent Medicine)
629 W 185TH ST
NEW YORK, NY 10033
Psychologist (Clinical)
629 W 185TH ST
NEW YORK, NY 10033
Psychiatry & Neurology (Psychiatry)
629 W 185TH ST, SUITE 3
NEW YORK, NY 10033
Dentist (Pediatric Dentistry)
629 W 185TH ST, 4TH FLOOR
NEW YORK, NY 10033
Specialist
629 W 185TH ST, BSMT
NEW YORK, NY 10033
Durable Medical Equipment & Medical Supplies (Customized Equipment)
629 W 185TH ST, 4TH FLOOR
NEW YORK, NY 10033

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 Ivelisse Capellan's NPI number?

The NPI number for Ivelisse Capellan is 1215694104. It was assigned to this individual provider in the NPPES registry on November 26, 2021.

Where is Ivelisse Capellan located?

Ivelisse Capellan practices at 629 W 185th St, New York, NY 10033. The listed phone number is (212) 543-3500.

What is Ivelisse Capellan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ivelisse Capellan enrolled in Medicare?

Yes. Ivelisse Capellan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ivelisse Capellan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivelisse Capellan reassigns Medicare benefits to 2 organizations: Fernando Taveras, MD PC (New York, NY) and M And M Psychiatric Nurse Practitioner Services PLLC (Brooklyn, NY). 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 Ivelisse Capellan'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 Ivelisse Capellan was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.