CIARA ENNIS AGACNP-BC
NPI 1629793898
Nurse Practitioner - Acute Care in New York, NY
About Ciara Ennis Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CIARA ENNIS AGACNP-BC (NPI 1629793898) is an individual acute care provider in New York, New York, licensed in New York (F432384-01) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ciara Ennis Agacnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Ciara Ennis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 482 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 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10065
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 Ciara Ennis's NPI number?
The NPI number for Ciara Ennis is 1629793898. It was assigned to this individual provider in the NPPES registry on October 10, 2022.
Where is Ciara Ennis located?
Ciara Ennis practices at 1275 York Ave, New York, NY 10065. The listed phone number is (347) 798-9213.
What is Ciara Ennis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Ciara Ennis enrolled in Medicare?
Yes. Ciara Ennis 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.
Which organization bills Medicare for Ciara Ennis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ciara Ennis reassigns Medicare benefits to Memorial Anesthesiology Group (New York, 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 Ciara Ennis'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 Ciara Ennis was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Ciara Ennis, AGACNP-BC · NPI 1629793898
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since October 10, 2022.
## Identity
- **NPI:** 1629793898 (Entity type: Individual)
- **Enumerated:** October 10, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** F432384-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (347) 798-9213
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Memorial Anesthesiology Group (NPI 1467423020, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629793898) · Data from the CMS NPPES public registry.