MS. JESSICA PRUDENCIO PMHNP-BC
NPI 1215749486
Nurse Practitioner - Psychiatric/Mental Health in Garden City, NY
About Ms. Jessica Prudencio Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JESSICA PRUDENCIO PMHNP-BC (NPI 1215749486) is an individual psychiatric/mental health provider in Garden City, New York, licensed in New York (F406381-01) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Jessica Prudencio 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center
Acute Care Hospitals · Rockville Centre, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11530 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.
GARDEN CITY, NY 11530
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 Jessica Prudencio's NPI number?
The NPI number for Jessica Prudencio is 1215749486. It was assigned to this individual provider in the NPPES registry on January 23, 2025.
Where is Jessica Prudencio located?
Jessica Prudencio practices at 506 Stewart Ave, Garden City, NY 11530. The listed phone number is (516) 705-3400.
What is Jessica Prudencio's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jessica Prudencio enrolled in Medicare?
Yes. Jessica Prudencio 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.
Is Jessica Prudencio affiliated with any hospitals?
According to CMS data, Jessica Prudencio is affiliated with Mercy Medical Center.
When was this NPI record last updated?
The NPPES record for Jessica Prudencio was last updated on October 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ms. Jessica Prudencio, PMHNP-BC · NPI 1215749486
Psychiatric/Mental Health physician in Garden City, New York. Individual provider, active in the CMS NPPES registry since January 23, 2025.
## Identity
- **NPI:** 1215749486 (Entity type: Individual)
- **Enumerated:** January 23, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F406381-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 506 STEWART AVE, Garden City, NY 11530-4706
- **Phone:** (516) 705-3400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215749486) · Data from the CMS NPPES public registry.