LIANDRA WAISOME NURSE PRACTITIONER IN PSYCHIATRY, PLLC
NPI 1700741634
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY
About Liandra Waisome Nurse Practitioner In Psychiatry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIANDRA WAISOME NURSE PRACTITIONER IN PSYCHIATRY, PLLC (NPI 1700741634) is a healthcare organization registered as a psychiatric/mental health in Staten Island, New York and active in the NPI registry since December 2025. The organization lists Liandra Waisome Edwards, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liandra Waisome Nurse Practitioner In Psychiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Liandra Waisome Nurse Practitioner In Psychiatry, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Liandra Waisome Nurse Practitioner In Psychiatry, PLLC's NPI number?
The NPI number for Liandra Waisome Nurse Practitioner In Psychiatry, PLLC is 1700741634. It was assigned to this organization in the NPPES registry on December 23, 2025.
Where is Liandra Waisome Nurse Practitioner In Psychiatry, PLLC located?
Liandra Waisome Nurse Practitioner In Psychiatry, PLLC is located at 469 Delafield Ave, Staten Island, NY 10310. The listed phone number is (917) 748-5699.
What is Liandra Waisome Nurse Practitioner In Psychiatry, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Liandra Waisome Nurse Practitioner In Psychiatry, PLLC enrolled in Medicare?
Yes. Liandra Waisome Nurse Practitioner In Psychiatry, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Liandra Waisome Nurse Practitioner In Psychiatry, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Liandra Waisome Nurse Practitioner In Psychiatry, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Liandra Waisome Nurse Practitioner In Psychiatry, PLLC was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Liandra Waisome Nurse Practitioner In Psychiatry, Pllc · NPI 1700741634
Psychiatric/Mental Health organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since December 23, 2025.
## Identity
- **NPI:** 1700741634 (Entity type: Organization)
- **Enumerated:** December 23, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Liandra Waisome Edwards, MANAGING MEMBER
## Practice location
- **Address:** 469 DELAFIELD AVE, Staten Island, NY 10310-2012
- **Phone:** (917) 748-5699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700741634) · Data from the CMS NPPES public registry.