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JEANNINE ASSOGBA FNP, PMHNP
NPI 1376066415
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Active since July 20, 2017PECOS Enrolled
3424 KOSSUTH AVE # 11A-19, BRONX, NY 10467(718) 519-3412 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2018, Aug 30, 2017, Jul 20, 2017 (3 updates tracked since 2017).

About Jeannine Assogba Fnp, Pmhnp NPPES

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

JEANNINE ASSOGBA FNP, PMHNP (NPI 1376066415) is an individual psychiatric/mental health provider in Bronx, New York, licensed in New York (405118) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376066415
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJEANNINE ASSOGBACredential: FNP, PMHNP
Location Address3424 KOSSUTH AVE # 11A-19Bronx, NY 10467-2410
Mailing Address3424 Kossuth Ave Fl 11a-19Bronx, NY 10467-2410 · (718) 519-3412
Phone(718) 519-3412
Sole ProprietorYes
Enumeration DateJuly 20, 2017
Last NPPES UpdateMay 23, 20243 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
✔ NPI 1376066415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 405118
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 340611 (NY)
3424 KOSSUTH AVE # 11A-19, Bronx, NY 10467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannine Assogba Fnp, Pmhnp 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 Reassignment

Medicare enrollment records show Jeannine Assogba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
Same address
General Acute Care Hospital
3424 KOSSUTH AVE
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1023024882 (718) 918-3677

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 10467 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.

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 Jeannine Assogba's NPI number?

The NPI number for Jeannine Assogba is 1376066415. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Where is Jeannine Assogba located?

Jeannine Assogba practices at 3424 Kossuth Ave # 11a-19, Bronx, NY 10467. The listed phone number is (718) 519-3412.

What is Jeannine Assogba's specialty?

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

Is Jeannine Assogba enrolled in Medicare?

Yes. Jeannine Assogba is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeannine Assogba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannine Assogba reassigns Medicare benefits to New York City Health And Hospitals Corporation (Bronx, 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 Jeannine Assogba'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 Jeannine Assogba was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.