ANNE CHERISME JUSTAFORT FNP
NPI 1720784879
Nurse Practitioner - Family in Merrick, NY
About Anne Cherisme Justafort Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNE CHERISME JUSTAFORT FNP (NPI 1720784879) is an individual family provider in Merrick, New York, licensed in New York (351221) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anne Cherisme Justafort Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anne Cherisme Justafort reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 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 11566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Anne Cherisme Justafort's NPI number?
The NPI number for Anne Cherisme Justafort is 1720784879. It was assigned to this individual provider in the NPPES registry on January 31, 2023. The provider is also known as Anne Cherisme.
Where is Anne Cherisme Justafort located?
Anne Cherisme Justafort practices at 1934 Commonwealth Ave, Merrick, NY 11566. The listed phone number is (347) 451-1865.
What is Anne Cherisme Justafort's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Anne Cherisme Justafort enrolled in Medicare?
Yes. Anne Cherisme Justafort is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anne Cherisme Justafort's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anne Cherisme Justafort reassigns Medicare benefits to Brookview Medical Associates, PLLC (Bohemia, NY). The 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 Anne Cherisme Justafort'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 Anne Cherisme Justafort was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Anne Cherisme Justafort, FNP · NPI 1720784879
Family physician in Merrick, New York. Individual provider, active in the CMS NPPES registry since January 31, 2023.
## Identity
- **NPI:** 1720784879 (Entity type: Individual)
- **Enumerated:** January 31, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 351221 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1934 COMMONWEALTH AVE, Merrick, NY 11566-3430
- **Phone:** (347) 451-1865
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 31, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1720784879) · Data from the CMS NPPES public registry.