THAMAR DERISME JEAN-GILLES NP
NPI 1407514888
Nurse Practitioner - Family in Brooklyn, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since December 02, 2021PECOS EnrolledAccepts Medicare Assignment

466 BAY RIDGE AVE, BROOKLYN, NY 11220(347) 836-6923 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2024, Dec 2, 2021 (2 updates tracked since 2021).

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About Thamar Derisme Jean-gilles Np NPPES

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

THAMAR DERISME JEAN-GILLES NP (NPI 1407514888) is an individual family provider in Brooklyn, New York, licensed in New York (346321) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407514888

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTHAMAR DERISME JEAN-GILLESCredential: NP

Location Address466 BAY RIDGE AVEBrooklyn, NY 11220-5906

Mailing Address4 Paerdegat 7th StBrooklyn, NY 11236-4106 · (347) 404-3462

Phone(347) 836-6923

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 2, 2021

Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2025

✔ NPI 1407514888 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 · 346321

466 BAY RIDGE AVE, Brooklyn, NY 11220

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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 and accepts Medicare assignment

Thamar Derisme Jean-gilles 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.

PECOS PAC ID2961892641

PECOS Enrollment IDI20220107001344

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11220 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 7

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

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