CIARA ENNIS AGACNP-BC
NPI 1629793898
Nurse Practitioner - Acute Care in New York, NY

Q: 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.

Q: What is Ciara Ennis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Ciara Ennis was last updated on April 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 10, 2022PECOS EnrolledAccepts Medicare Assignment

1275 YORK AVE, NEW YORK, NY 10065(347) 798-9213 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

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

NPI1629793898

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameCIARA ENNISCredential: AGACNP-BC

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address1751 2nd Ave Apt 15bNew York, NY 10128-5378 · (845) 494-8300

Phone(347) 798-9213

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 10, 2022

Last NPPES UpdateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1629793898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · F432384-01

1275 YORK AVE, New York, NY 10065

Open in Google Maps ↗

Secondary Practice Location 1

Location 11468 Madison AveNew York, NY 10029-6508 · Phone (212) 241-6800

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

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.

PECOS PAC ID9133648827

PECOS Enrollment IDI20250527001414

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 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.

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.

Leave this field empty

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.

MRS. ZANA CORREA NP

Nurse Practitioner (Adult Health)