IRENA HOVHANNISYAN
NPI 1699520304
Nurse Practitioner - Family in Staten Island, NY
About Irena Hovhannisyan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRENA HOVHANNISYAN (NPI 1699520304) is an individual family provider in Staten Island, New York, licensed in New York (F353707) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Irena Hovhannisyan 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 Reassignments
2Medicare enrollment records show Irena Hovhannisyan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Staten Island, NY 10308
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Annadale Np In Family Health PC
Baltimore, MD 21231
- Reassigned Medicare billing, New York enrollment
- 25 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 10308 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10308
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 Irena Hovhannisyan's NPI number?
The NPI number for Irena Hovhannisyan is 1699520304. It was assigned to this individual provider in the NPPES registry on April 17, 2024.
Where is Irena Hovhannisyan located?
Irena Hovhannisyan practices at 3974 Amboy Rd Ste 302, Staten Island, NY 10308. The listed phone number is (718) 967-1071.
What is Irena Hovhannisyan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Irena Hovhannisyan enrolled in Medicare?
Yes. Irena Hovhannisyan 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 Irena Hovhannisyan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Irena Hovhannisyan reassigns Medicare benefits to 2 organizations: Annadale Np In Family Health P.C. (Staten Island, NY) and Urban Family Practice PC (Baltimore, MD). 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 Irena Hovhannisyan'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 Irena Hovhannisyan was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Irena Hovhannisyan · NPI 1699520304
Family physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since April 17, 2024.
## Identity
- **NPI:** 1699520304 (Entity type: Individual)
- **Enumerated:** April 17, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F353707 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3974 AMBOY RD STE 302, Staten Island, NY 10308-2414
- **Phone:** (718) 967-1071
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Annadale Np In Family Health P.C. (NPI 1558232108, Staten Island, NY); Urban Family Practice PC (NPI 1164594099, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699520304) · Data from the CMS NPPES public registry.