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QUILON WISE PMHNP-BC
NPI 1346081478
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since June 03, 2024PECOS EnrolledAccepts Medicare Assignment
274 MADISON AVE RM 1501, NEW YORK, NY 10016(212) 203-1773(646) 665-4427 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2025, Sep 11, 2024, Sep 3, 2024 and 2 more (5 updates tracked since 2024).

About Quilon Wise Pmhnp-bc NPPES

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

QUILON WISE PMHNP-BC (NPI 1346081478) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (405937) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1346081478
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameQUILON WISECredential: PMHNP-BC
Location Address274 MADISON AVE RM 1501New York, NY 10016-0701
Mailing Address274 Madison Ave Rm 1501New York, NY 10016-0701 · (212) 203-1773 · Fax (646) 665-4427
Phone(212) 203-1773
Fax(646) 665-4427
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 3, 2024
Last NPPES UpdateJuly 11, 20255 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1346081478 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 · 405937
274 MADISON AVE RM 1501, New York, NY 10016
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Quilon Wise 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.

PECOS PAC ID2567903438
PECOS Enrollment IDI20240918003623
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 Quilon Wise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rivia Medical PLLC
Same address
Psychiatric/Mental Health
274 MADISON AVE RM 1501
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 79 clinicians in this Medicare group
NPI 1134644032 (212) 203-1773
Behavioral Health Services North, Inc.
180 mi
Mental Health (Including Community Mental Health Center)
25 WILLOWBROOK RD
Queensbury, NY 12804
  • Reassigned Medicare billing, New York enrollment
  • 107 clinicians in this Medicare group
NPI 1447005541 (518) 563-8206

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 10016 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.

MS. MONIQUE ZELLARS
Social Worker (Clinical)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
New York County (212) 203-1773
DIANA VELIZ LCSW
Social Worker (Clinical)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
New York County (212) 203-1773
DANICA MCCANN LCSW
Social Worker (Clinical)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
New York County (212) 203-1773
MS. PHUC DUYEN NGUYEN
Nurse Practitioner (Psychiatric/Mental Health)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
New York County (212) 203-1773
JOHN WILLIAM SCANDURRA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
New York County (212) 203-1773
DIANA M GOMEZ NP
Nurse Practitioner (Psychiatric/Mental Health)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
New York County (212) 203-1773
DANDAN WANG
Nurse Practitioner (Psychiatric/Mental Health)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
New York County (212) 203-1773
MICHELLE COHEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
274 MADISON AVE RM 1501
NEW YORK, NY 10016
New York County (201) 774-1122

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 Quilon Wise's NPI number?

The NPI number for Quilon Wise is 1346081478. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Quilon Wise located?

Quilon Wise practices at 274 Madison Ave Rm 1501, New York, NY 10016. The listed phone number is (212) 203-1773.

What is Quilon Wise's specialty?

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

Is Quilon Wise enrolled in Medicare?

Yes. Quilon Wise 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.

Which organizations bill Medicare for Quilon Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Quilon Wise reassigns Medicare benefits to 2 organizations: Rivia Medical PLLC (New York, NY) and Behavioral Health Services North, Inc. (Queensbury, 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 Quilon Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Quilon Wise accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Quilon Wise 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 Quilon Wise was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.