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LORRAINE JAYSURA NP
NPI 1669776951
Nurse Practitioner - Family in New York, NY

Active since January 01, 2011PECOS EnrolledAccepts Medicare Assignment
489 5TH AVE FL 3, NEW YORK, NY 10017(212) 441-4400(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Sep 12, 2022, Jun 10, 2021 and 2 more (5 updates tracked since 2017).

About Lorraine Jaysura Np NPPES

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

LORRAINE JAYSURA NP (NPI 1669776951) is an individual family provider in New York, New York, licensed in New York (347433) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669776951
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORRAINE JAYSURACredential: NP
Location Address489 5TH AVE FL 3New York, NY 10017-6145
Mailing Address129 W 29th St Fl 10New York, NY 10001-5105 · (415) 658-6791 · Fax (415) 520-0904
Phone(212) 441-4400
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 1, 2011
Last NPPES UpdateMarch 18, 20255 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1669776951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 347433
Also ListedRegistered NurseTaxonomy 163W00000X · License 713661 (NY)
Also ListedMassage TherapistTaxonomy 225700000X · License 018663 (NY)
489 5TH AVE FL 3, New York, NY 10017
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11469 Astor Ave Fl 1Bronx, NY 10469-5846 · Phone (917) 346-1806
Location 2100 Alcott Pl Apt 4KBronx, NY 10475-4153 · Phone (917) 346-1806

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

Lorraine Jaysura Np 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 ID6204237522
PECOS Enrollment IDI20210624001042
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 10017 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.

JOHN DUJMOVIC APRN
Nurse Practitioner
489 5TH AVE FL 3
NEW YORK, NY 10017
New York County (415) 651-6791
RUBY FAIRCHILD
Nurse Practitioner (Family)
489 5TH AVE FL 3
NEW YORK, NY 10017
New York County (212) 440-0658
MRS. BETSY FUMELUS PA
Physician Assistant
489 5TH AVE FL 3
NEW YORK, NY 10017
New York County (888) 663-6331
MRS. CHARISSE SWARNS LEWIS P.A.
Physician Assistant
489 5TH AVE FL 3
NEW YORK, NY 10017
New York County (888) 663-6331
TANIA MARTINEZ-BEASLEY PA-C
Physician Assistant
489 5TH AVE FL 3
NEW YORK, NY 10017
New York County (888) 663-6331
ARNICE JACKSON DNP
Nurse Practitioner (Community Health)
489 5TH AVE FL 3
NEW YORK, NY 10017
New York County (888) 663-6331
CHASIDY LEIGH BROOKS NP-C
Nurse Practitioner
489 5TH AVE FL 3
NEW YORK, NY 10017
New York County (888) 663-6331
BHUPINDERJIT SINGH
Nurse Practitioner (Family)
489 5TH AVE FL 3
NEW YORK, NY 10017
New York County (888) 663-6331

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 Lorraine Jaysura's NPI number?

The NPI number for Lorraine Jaysura is 1669776951. It was assigned to this individual provider in the NPPES registry on January 1, 2011.

Where is Lorraine Jaysura located?

Lorraine Jaysura practices at 489 5th Ave Fl 3, New York, NY 10017. The listed phone number is (212) 441-4400.

What is Lorraine Jaysura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lorraine Jaysura enrolled in Medicare?

Yes. Lorraine Jaysura 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 Lorraine Jaysura was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.