1. Home
  2. Directory
  3. New York
  4. Syosset
  5. Nurse Practitioner
  6. NPI Profile

JESSE TAYLOR BUA PMHNP-BC
NPI 1376379446
Nurse Practitioner - Psychiatric/Mental Health in Syosset, NY

Active since September 13, 2024PECOS Enrolled
175 JERICHO TPKE STE 216, SYOSSET, NY 11791(844) 443-2563 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 16, 2026, Sep 13, 2024 (2 updates tracked since 2024).

About Jesse Taylor Bua Pmhnp-bc NPPES

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

JESSE TAYLOR BUA PMHNP-BC (NPI 1376379446) is an individual psychiatric/mental health provider in Syosset, New York, licensed in New York (F407602-01) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376379446
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJESSE TAYLOR BUACredential: PMHNP-BC
Location Address175 JERICHO TPKE STE 216Syosset, NY 11791-4538
Mailing Address315 Atlantic Ave Apt 2pEast Rockaway, NY 11518-1103 · (516) 330-7724
Phone(844) 443-2563
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 13, 2024
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1376379446 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 · F407602-01
175 JERICHO TPKE STE 216, Syosset, NY 11791
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)

Jesse Taylor Bua Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092280420
PECOS Enrollment IDI20260413003212
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 11791 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 2

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

TALIA SCLAIR
Social Worker
175 JERICHO TPKE STE 216
SYOSSET, NY 11791
Nassau County (844) 443-2563
ILAN LEVIN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
175 JERICHO TPKE STE 216
SYOSSET, NY 11791
Nassau County (844) 443-2563

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 Jesse Bua's NPI number?

The NPI number for Jesse Bua is 1376379446. It was assigned to this individual provider in the NPPES registry on September 13, 2024.

Where is Jesse Bua located?

Jesse Bua practices at 175 Jericho Tpke Ste 216, Syosset, NY 11791. The listed phone number is (844) 443-2563.

What is Jesse Bua's specialty?

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

Is Jesse Bua enrolled in Medicare?

Yes. Jesse Bua is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Bua was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.