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JAN JEREMIAH FNP-BC
NPI 1619590486
Nurse Practitioner - Primary Care in Brooklyn, NY

Active since May 27, 2020PECOS Enrolled
3839 FLATLANDS AVE STE 100, BROOKLYN, NY 11234(718) 338-5024(718) 338-5029 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 1, 2020, Jun 25, 2020, May 28, 2020 (3 updates tracked since 2020).

About Jan Jeremiah Fnp-bc NPPES

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

JAN JEREMIAH FNP-BC (NPI 1619590486) is an individual primary care provider in Brooklyn, New York, licensed in New York (F344290-1) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619590486
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJAN JEREMIAHCredential: FNP-BC
Location Address3839 FLATLANDS AVE STE 100Brooklyn, NY 11234-3535
Mailing Address3839 Flatlands Ave Ste 100Brooklyn, NY 11234-3535 · (718) 338-5024 · Fax (718) 338-5029
Phone(718) 338-5024
Fax(718) 338-5029
Sole ProprietorNo
Enumeration DateMay 27, 2020
Last NPPES UpdateJuly 1, 20203 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1619590486 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 · F344290-1
3839 FLATLANDS AVE STE 100, Brooklyn, NY 11234
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jan Jeremiah Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jan Jeremiah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maimonides Faculty Practice Plan
3.5 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700

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 11234 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.

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 Jan Jeremiah's NPI number?

The NPI number for Jan Jeremiah is 1619590486. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Jan Jeremiah located?

Jan Jeremiah practices at 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234. The listed phone number is (718) 338-5024.

What is Jan Jeremiah's specialty?

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

Is Jan Jeremiah enrolled in Medicare?

Yes. Jan Jeremiah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jan Jeremiah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jan Jeremiah reassigns Medicare benefits to Maimonides Faculty Practice Plan (Brooklyn, 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 Jan Jeremiah'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 Jan Jeremiah was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.