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BASIRAT PELEMO FNP
NPI 1396378790
Nurse Practitioner - Family in Staten Island, NY

Active since February 14, 2020PECOS Enrolled
456 VAN DUZER ST APT D3, STATEN ISLAND, NY 10304(347) 782-5104 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Basirat Pelemo Fnp NPPES

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

BASIRAT PELEMO FNP (NPI 1396378790) is an individual family provider in Staten Island, New York, licensed in New York (641085) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396378790
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBASIRAT PELEMOCredential: FNP
Location Address456 VAN DUZER ST APT D3Staten Island, NY 10304-2076
Mailing Address456 Van Duzer St Apt D3Staten Island, NY 10304-2076 · (347) 782-5104
Phone(347) 782-5104
Sole ProprietorNo
Enumeration DateFebruary 14, 2020
✔ NPI 1396378790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 641085
456 VAN DUZER ST APT D3, Staten Island, NY 10304
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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)

Basirat Pelemo Fnp 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 Reassignments

2

Medicare enrollment records show Basirat Pelemo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brookview Medical Associates, PLLC
52 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800
Medical Director Services PC
188 mi
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, New York enrollment
  • 325 clinicians in this Medicare group
NPI 1871955807 (212) 734-6621

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 10304 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 Basirat Pelemo's NPI number?

The NPI number for Basirat Pelemo is 1396378790. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Where is Basirat Pelemo located?

Basirat Pelemo practices at 456 Van Duzer St Apt D3, Staten Island, NY 10304. The listed phone number is (347) 782-5104.

What is Basirat Pelemo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Basirat Pelemo enrolled in Medicare?

Yes. Basirat Pelemo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Basirat Pelemo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Basirat Pelemo reassigns Medicare benefits to 2 organizations: Brookview Medical Associates, PLLC (Bohemia, NY) and Medical Director Services PC (Princess Anne, MD). 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 Basirat Pelemo'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 Basirat Pelemo was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.