MS. VALBONA AVDIJA PMHNP-BC
NPI 1629306188
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY

Active since November 21, 2009PECOS Enrolled
56 BELAIR LN, STATEN ISLAND, NY 10305(917) 829-0598 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 9, 2025, May 23, 2025, Apr 12, 2024 (3 updates tracked since 2024).

About Ms. Valbona Avdija Pmhnp-bc NPPES

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

MS. VALBONA AVDIJA PMHNP-BC (NPI 1629306188) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New York (406334) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629306188
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. VALBONA AVDIJACredential: PMHNP-BC
Location Address56 BELAIR LNStaten Island, NY 10305-3067
Mailing Address56 Belair LnStaten Island, NY 10305-3067 · (917) 829-0598
Sole ProprietorYes
Enumeration DateNovember 21, 2009
Last NPPES UpdateAugust 9, 20253 updates tracked since enumeration
NPPES CertifiedAugust 9, 2025
✔ NPI 1629306188 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
License✔ Licensed in NY · 406334
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 335585 (NY)
56 BELAIR LN, Staten Island, NY 10305

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Valbona Avdija Pmhnp-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 Valbona Avdija reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
56 BELAIR LN
Staten Island, NY 10305
  • Reassigned Medicare billing, New York enrollment

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 10305 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 2

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

Nurse Practitioner (Family)
56 BELAIR LN
STATEN ISLAND, NY 10305
Nurse Practitioner (Psychiatric/Mental Health)
56 BELAIR LN
STATEN ISLAND, NY 10305

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 Valbona Avdija's NPI number?

The NPI number for Valbona Avdija is 1629306188. It was assigned to this individual provider in the NPPES registry on November 21, 2009.

Where is Valbona Avdija located?

Valbona Avdija practices at 56 Belair Ln, Staten Island, NY 10305. The listed phone number is (917) 829-0598.

What is Valbona Avdija's specialty?

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

Is Valbona Avdija enrolled in Medicare?

Yes. Valbona Avdija is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Valbona Avdija's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valbona Avdija reassigns Medicare benefits to Wellbeing By Valbona Np In Psychiatry And Family Health, PLLC (Staten Island, 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 Valbona Avdija's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Valbona Avdija accept?

Health plans from Anthem Blue Cross and Blue Shield list Valbona Avdija as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Valbona Avdija was last updated on August 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.