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KJERSTEN DIANE DOSUMU NP
NPI 1508472713
Nurse Practitioner - Adult Health in New York, NY

Active since September 22, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
161 FORT WASHINGTON AVE, NEW YORK, NY 10032(646) 317-6041 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2023, Aug 23, 2021, Aug 3, 2021 and 1 more (4 updates tracked since 2020).

About Kjersten Diane Dosumu Np NPPES

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

KJERSTEN DIANE DOSUMU NP (NPI 1508472713) is an individual adult health provider in New York, New York, licensed in New York (F309675) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508472713
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKJERSTEN DIANE DOSUMUCredential: NP
Location Address161 FORT WASHINGTON AVENew York, NY 10032-3729
Mailing Address2098 Frederick Douglass Blvd Apt 8qNew York, NY 10026-2794 · (385) 234-1991
Phone(646) 317-6041
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 22, 2020
Last NPPES UpdateMay 26, 20234 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
✔ NPI 1508472713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F309675
Also ListedNurse PractitionerTaxonomy 363L00000X · License F309675-1 (NY)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License F309675 (NY)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License F309675-01 (NY)
161 FORT WASHINGTON AVE, New York, NY 10032
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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

Kjersten Diane Dosumu 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 ID547668659
PECOS Enrollment IDI20211004002286
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

Services this provider delivered to Medicare fee-for-service patients, from the 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MAUREEN LICURSI CPNP
Nurse Practitioner (Pediatrics)
161 FORT WASHINGTON AVE, 7TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-2466
BARBARA THERESE ROBBINS APRN-BC
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE, ROOM 661
NEW YORK, NY 10032
New York County (212) 342-0886
VARSHA JOHN
Student in an Organized Health Care Education/Training Program
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5221
MICHELLE BENGAL PA
Physician Assistant
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (818) 614-2424
DR. NICOLA CORVAJA M.D.
Internal Medicine (Interventional Cardiology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 342-3616
RACHEL CONYBEARE N.P.
Nurse Practitioner (Adult Health)
161 FORT WASHINGTON AVE, HERBERT IRVING PAVILION ROOM # 903
NEW YORK, NY 10032
New York County (212) 305-5275
DR. SUNEETA KRISHNAREDDY MD
Internal Medicine (Gastroenterology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2323
DAVID M WEINER MD
Urology
161 FORT WASHINGTON AVE, 11TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-0114

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 Kjersten Dosumu's NPI number?

The NPI number for Kjersten Dosumu is 1508472713. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Kjersten Dosumu located?

Kjersten Dosumu practices at 161 Fort Washington Ave, New York, NY 10032. The listed phone number is (646) 317-6041.

What is Kjersten Dosumu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kjersten Dosumu enrolled in Medicare?

Yes. Kjersten Dosumu 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.

Is Kjersten Dosumu affiliated with any hospitals?

According to CMS data, Kjersten Dosumu is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kjersten Dosumu was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.