BRUCE PROFSKY PMHNP-BC
NPI 1689497554
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Active since November 07, 2024PECOS EnrolledAccepts Medicare Assignment
4102 13TH AVE, BROOKLYN, NY 11219(718) 400-9988 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2024, Nov 7, 2024 (2 updates tracked since 2024).

About Bruce Profsky Pmhnp-bc NPPES

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

BRUCE PROFSKY PMHNP-BC (NPI 1689497554) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (405636) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689497554
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBRUCE PROFSKYCredential: PMHNP-BC
Location Address4102 13TH AVEBrooklyn, NY 11219-1389
Mailing Address3606 Avenue SBrooklyn, NY 11234-4830 · (718) 419-8044
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 7, 2024
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1689497554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 405636
4102 13TH AVE, Brooklyn, NY 11219

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

Bruce Profsky Pmhnp-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 ID6002336302
PECOS Enrollment IDI20250217002555
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 Reassignments

2

Medicare enrollment records show Bruce Profsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Case Management
4102 14TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
Family Medicine
1 KINGS HWY
Hauppauge, NY 11788
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Amb Medical Services PC
  • 54 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 11219 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 20

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

Student in an Organized Health Care Education/Training Program
4102 13TH AVE
BROOKLYN, NY 11219
Social Worker
4102 13TH AVE
BROOKLYN, NY 11219
Psychiatry & Neurology (Psychiatry)
4102 13TH AVE
BROOKLYN, NY 11219
Social Worker
4102 13TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4102 13TH AVE
BROOKLYN, NY 11219
Social Worker
4102 13TH AVE
BROOKLYN, NY 11219
Social Worker (Clinical)
4102 13TH AVE
BROOKLYN, NY 11219
Social Worker
4102 13TH AVE
BROOKLYN, NY 11219

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 Bruce Profsky's NPI number?

The NPI number for Bruce Profsky is 1689497554. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Bruce Profsky located?

Bruce Profsky practices at 4102 13th Ave, Brooklyn, NY 11219. The listed phone number is (718) 400-9988.

What is Bruce Profsky's specialty?

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

Is Bruce Profsky enrolled in Medicare?

Yes. Bruce Profsky 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 organizations bill Medicare for Bruce Profsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Profsky reassigns Medicare benefits to 2 organizations: Hamaspik Of Kings County (Brooklyn, NY) and Amb Medical Services, P.C. (Hauppauge, NY). Each 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 Bruce Profsky'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 Bruce Profsky was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.