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GENILL REYNOSO FNP-BC
NPI 1558829341
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since March 11, 2019PECOS EnrolledAccepts Medicare Assignment
4405 BROADWAY, NEW YORK, NY 10040(212) 740-2020 Get Directions Write a Review

NPPES record last updated: May 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2026, Dec 6, 2019, Mar 11, 2019 (3 updates tracked since 2019).

About Genill Reynoso Fnp-bc NPPES

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

GENILL REYNOSO FNP-BC (NPI 1558829341) is an individual psychiatric/mental health provider in New York, New York, licensed in New Jersey (26NJ01151200) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1558829341
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGENILL REYNOSOCredential: FNP-BC
Location Address4405 BROADWAYNew York, NY 10040
Mailing Address4405 BroadwayNew York, NY 10040-4014 · (212) 740-2020 · Fax (646) 666-0304
Phone(212) 740-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 11, 2019
Last NPPES UpdateMay 23, 20263 updates tracked since enumeration
NPPES CertifiedMay 23, 2026
✔ NPI 1558829341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NJ · 26NJ01151200✔ Licensed in NY · 407674
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 16105 (CT), F343720-1 (NY), 95021583 (CA), 26NJ01151200 (NJ)
4405 BROADWAY, New York, NY 10040
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Secondary Practice Location 1

Location 14405 BroadwayNew York, NY 10040 · Phone (212) 740-2020 ext. 318

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

Genill Reynoso Fnp-bc 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 ID8527394048
PECOS Enrollment IDI20260515003882
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10040 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.

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.

DR. MARK AARON JACKNIN D.O.
Family Medicine
4405 BROADWAY
NEW YORK, NY 10040
New York County (212) 740-2020
DR. CARLOS F NUNEZ MD
Internal Medicine
4405 BROADWAY
NEW YORK, NY 10040
New York County (212) 740-2020
IK DENTAL
Durable Medical Equipment & Medical Supplies
4405 BROADWAY
NEW YORK, NY 10040
New York County (212) 568-1500
IK DENTAL, PC
Clinic/Center (Dental)
4405 BROADWAY
NEW YORK, NY 10040
New York County (212) 568-1500
LILIANA C PANIZZA NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
4405 BROADWAY
NEW YORK, NY 10040
New York County (212) 740-2020
RHODA BARTH GALAWANJI FNP
Nurse Practitioner (Family)
4405 BROADWAY
NEW YORK, NY 10040
New York County (212) 740-2020
LISSETTE ALEXANDRA OTERO NP
Nurse Practitioner (Adult Health)
4405 BROADWAY
NEW YORK, NY 10040
New York County (212) 740-2020
PRABHJOT SINGH
Internal Medicine
4405 BROADWAY
NEW YORK, NY 10040
New York County (212) 740-2020

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 Genill Reynoso's NPI number?

The NPI number for Genill Reynoso is 1558829341. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Genill Reynoso located?

Genill Reynoso practices at 4405 Broadway, New York, NY 10040. The listed phone number is (212) 740-2020.

What is Genill Reynoso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Genill Reynoso enrolled in Medicare?

Yes. Genill Reynoso 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.

When was this NPI record last updated?

The NPPES record for Genill Reynoso was last updated on May 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.