ODEISHA M MAITLAND FNP - NPI 1699572289 - Nurse Practitioner in New York, NY

Q: What is Odeisha Maitland's NPI number?

The NPI number for Odeisha Maitland is 1699572289. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Q: What is Odeisha Maitland's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Odeisha Maitland was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Odeisha M Maitland Fnp NPPES

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

ODEISHA M MAITLAND FNP (NPI 1699572289) is an individual family provider in New York, New York, licensed in New York (356242) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Albans.

NPPES Registry Identity

NPI1699572289

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameODEISHA M MAITLANDCredential: FNP

Location Address298 MULBERRY STNew York, NY 10012-3331

Mailing Address298 Mulberry StNew York, NY 10012-3331 · (212) 226-6111

Phone(212) 226-6111

Sole ProprietorYes

Enumeration DateFebruary 28, 2025

Last NPPES UpdateMay 5, 20263 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1699572289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 356242

298 MULBERRY ST, New York, NY 10012

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Secondary Practice Location 1

Location 120515 Hollis AveSaint Albans, NY 11412-1417 · Phone (718) 217-3744

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odeisha M Maitland Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10012 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 8

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

KAREN CHUNG FNP-BC

Nurse Practitioner (Family)