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KISHA JEGEDE-GABBIDON FNP-BC
NPI 1760959530
Nurse Practitioner - Family in Queens Village, NY

Active since October 30, 2018PECOS Enrolled
11208 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429(929) 430-3811 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2022, Oct 30, 2018 (2 updates tracked since 2018).

About Kisha Jegede-gabbidon Fnp-bc NPPES

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

KISHA JEGEDE-GABBIDON FNP-BC (NPI 1760959530) is an individual family provider in Queens Village, New York, licensed in New York (F338617-1) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jamaica.

NPPES Registry Identity

NPI1760959530
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKISHA JEGEDE-GABBIDONCredential: FNP-BC
Location Address11208 SPRINGFIELD BLVDQueens Village, NY 11429-2650
Mailing Address2417 Jericho Tpke Ste 279Garden City Park, NY 11040-4710 · (929) 430-3811
Phone(929) 430-3811
Sole ProprietorNo
Enumeration DateOctober 30, 2018
Last NPPES UpdateSeptember 16, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1760959530 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 · F338617-1
11208 SPRINGFIELD BLVD, Queens Village, NY 11429
Open in Google Maps ↗

Secondary Practice Location 1

Location 117520 Hillside AveJamaica, NY 11432-5773 · Phone (718) 298-9500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kisha Jegede-gabbidon Fnp-bc 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.

Medicare Billing Reassignments

2

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

Ny Family Practice Physicians, PC
6.2 mi
Primary Care
86 16 JAMAICA AVE
Woodhaven, NY 11421
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
NPI 1790936854 (718) 805-0037
Apicha Community Health Center
8.2 mi
Federally Qualified Health Center (FQHC)
8211 37TH AVE FL 5
Jackson Heights, NY 11372
  • Reassigned Medicare billing, New York enrollment
  • 24 clinicians in this Medicare group
NPI 1396238283 (718) 567-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services16 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11429 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

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

EILEEN FERREIRA FNP-BC
Nurse Practitioner (Family)
11208 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11429
Queens County (718) 805-0037

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 Kisha Jegede-gabbidon's NPI number?

The NPI number for Kisha Jegede-gabbidon is 1760959530. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Kisha Jegede-gabbidon located?

Kisha Jegede-gabbidon practices at 11208 Springfield Blvd, Queens Village, NY 11429. The listed phone number is (929) 430-3811.

What is Kisha Jegede-gabbidon's specialty?

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

Is Kisha Jegede-gabbidon enrolled in Medicare?

Yes. Kisha Jegede-gabbidon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kisha Jegede-gabbidon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kisha Jegede-gabbidon reassigns Medicare benefits to 2 organizations: Ny Family Practice Physicians, PC (Woodhaven, NY) and Apicha Community Health Center (Jackson Heights, 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 Kisha Jegede-gabbidon'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 Kisha Jegede-gabbidon was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.