CELESTE DANCE
NPI 1396203048
Nurse Practitioner - Adult Health in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

Active since March 12, 2019PECOS Enrolled

17 E 102ND ST, NEW YORK, NY 10029(212) 241-1671 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2025, Jul 30, 2020, Mar 12, 2019 (3 updates tracked since 2019).

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About Celeste Dance NPPES

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

CELESTE DANCE (NPI 1396203048) is an individual adult health provider in New York, New York, licensed in New York (F308749) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396203048

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCELESTE DANCE

Location Address17 E 102ND STNew York, NY 10029-5204

Mailing Address1 Gustave L Levy PlNew York, NY 10029-6504

Phone(212) 241-1671

Sole ProprietorNo

Enumeration DateMarch 12, 2019

Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1396203048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F308749

Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 658995 (NY)

17 E 102ND ST, New York, NY 10029

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Celeste Dance 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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.