VEDALIE SOUVENANCE NP
NPI 1407455884
Nurse Practitioner - Adult Health in Queens Village, NY
About Vedalie Souvenance Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VEDALIE SOUVENANCE NP (NPI 1407455884) is an individual adult health provider in Queens Village, New York, licensed in New York (F311426-01) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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
Vedalie Souvenance Np 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.
Medicare Billing Reassignments
7Medicare enrollment records show Vedalie Souvenance reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jamaica, NY 11423
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- 1,054 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Bronx Medical Practice PC
- 1,013 clinicians in this Medicare group
Brooklyn, NY 11229
- Reassigned Medicare billing, New York enrollment
- 72 clinicians in this Medicare group
Upper Saddle River, NJ 07458
- Reassigned Medicare billing, New York enrollment
- 22 clinicians in this Medicare group
Bristol, RI 02809
- Reassigned Medicare billing, New York enrollment
- 188 clinicians in this Medicare group
Fowler, OH 44418
- Reassigned Medicare billing, New York enrollment
- 27 clinicians in this Medicare group
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 11427 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Vedalie Souvenance's NPI number?
The NPI number for Vedalie Souvenance is 1407455884. It was assigned to this individual provider in the NPPES registry on October 18, 2020. The provider is also known as Vedalie Souvenance Np.
Where is Vedalie Souvenance located?
Vedalie Souvenance practices at 21229 Hillside Ave Apt 3je, Queens Village, NY 11427. The listed phone number is (917) 825-0930.
What is Vedalie Souvenance's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Vedalie Souvenance enrolled in Medicare?
Yes. Vedalie Souvenance 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 Vedalie Souvenance's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vedalie Souvenance reassigns Medicare benefits to 7 organizations: Essen Medical Associates,pc (Jamaica, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY), Ilm Medical Care PLLC (Brooklyn, NY), Silver Star Medical Association Of Nj PC (Upper Saddle River, NJ) and 2 more organizations, listed in the Medicare section above. 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 Vedalie Souvenance'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 Vedalie Souvenance was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Vedalie Souvenance, NP · NPI 1407455884
Adult Health physician in Queens Village, New York. Individual provider, active in the CMS NPPES registry since October 18, 2020.
## Identity
- **NPI:** 1407455884 (Entity type: Individual)
- **Enumerated:** October 18, 2020
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F311426-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 21229 HILLSIDE AVE APT 3JE, Queens Village, NY 11427-1851
- **Phone:** (917) 825-0930
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Essen Medical Associates,pc (NPI 1700023926, Jamaica, NY); House Call Medical Services Of New York, PLLC (NPI 1851345946, Bronx, NY); Bronx Medical Practice P.C. (NPI 1356726087, Bronx, NY); Ilm Medical Care PLLC (NPI 1023442035, Brooklyn, NY); Silver Star Medical Association Of Nj PC (NPI 1710677091, Upper Saddle River, NJ); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 19, 2024
- **Other identifiers:** Other 784731-01 (NY); Other F311426-01 (NY); Medicaid F311426-01 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1407455884) · Data from the CMS NPPES public registry.