JUSTINEANN BATILO AGNP-C
NPI 1407676653
Nurse Practitioner - Primary Care in Bayside, NY

Active since October 14, 2024PECOS Enrolled
4119 CORPORAL KENNEDY ST # 1, BAYSIDE, NY 11361(646) 436-0505 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Justineann Batilo Agnp-c NPPES

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

JUSTINEANN BATILO AGNP-C (NPI 1407676653) is an individual primary care provider in Bayside, New York, licensed in New York (311988) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407676653
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJUSTINEANN BATILOCredential: AGNP-C
Location Address4119 CORPORAL KENNEDY ST # 1Bayside, NY 11361-2757
Mailing Address4119 Corporal Kennedy St # 1Bayside, NY 11361-2757 · (646) 436-0505
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 13, 2024
✔ NPI 1407676653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · 311988
4119 CORPORAL KENNEDY ST # 1, Bayside, NY 11361

Other Names 1

Other Name (5)Justine Batilo Agnp-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justineann Batilo Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416430517
PECOS Enrollment IDI20260317000115
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 Reassignment

Medicare enrollment records show Justineann Batilo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 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 11361 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 Justineann Batilo's NPI number?

The NPI number for Justineann Batilo is 1407676653. It was assigned to this individual provider in the NPPES registry on October 14, 2024. The provider is also known as Justine Batilo Agnp-C.

Where is Justineann Batilo located?

Justineann Batilo practices at 4119 Corporal Kennedy St # 1, Bayside, NY 11361. The listed phone number is (646) 436-0505.

What is Justineann Batilo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Justineann Batilo enrolled in Medicare?

Yes. Justineann Batilo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justineann Batilo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justineann Batilo reassigns Medicare benefits to Brookview Medical Associates, PLLC (Bohemia, NY). The 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 Justineann Batilo'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 Justineann Batilo was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.