JENEE BROCK
NPI 1821828492
Nurse Practitioner - Family in Bethpage, NY

Q: What is Jenee Brock's NPI number?

The NPI number for Jenee Brock is 1821828492. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Q: What is Jenee Brock'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 Jenee Brock was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 07, 2024PECOS Enrolled

4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714(904) 372-3943(904) 212-1618 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2025, Aug 13, 2024, Aug 7, 2024 (3 updates tracked since 2024).

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About Jenee Brock NPPES

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

JENEE BROCK (NPI 1821828492) is an individual family provider in Bethpage, New York, licensed in New York (354940) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Far Rockaway, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821828492

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENEE BROCK

Location Address4295 HEMPSTEAD TPKEBethpage, NY 11714-5713

Mailing Address7751 Belfort Pkwy Ste 120Jacksonville, FL 32256-6921 · (904) 372-3943 · Fax (904) 212-1618

Phone(904) 372-3943

Fax(904) 212-1618

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 7, 2024

Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1821828492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in NY · 354940

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 747933 (NY)

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 354940 (NY)

4295 HEMPSTEAD TPKE, Bethpage, NY 11714

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Secondary Practice Location 1

Location 1327 Beach 19th StFar Rockaway, NY 11691-4423 · Phone (718) 869-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenee Brock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678070380

PECOS Enrollment IDI20251008003589

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 Reassignment

Medicare enrollment records show Jenee Brock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diabetes Management Partners LLC

Same address

Endocrinology, Diabetes & Metabolism

4295 HEMPSTEAD TPKE
Bethpage, NY 11714

Reassigned Medicare billing, New York enrollment
11 clinicians in this Medicare group

NPI 1013461193 (904) 372-3943

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 11714 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

JAMES BANTEL PA-C

Physician Assistant

4295 HEMPSTEAD TPKE
BETHPAGE, NY 11714

Nassau County (516) 579-6000

JOEL LA WATSON P.A

Physician Assistant (Medical)

4295 HEMPSTEAD TPKE
BETHPAGE, NY 11714

Nassau County (516) 579-6000

DR. JOSEPH S ROSENBERG M.D.

Anesthesiology

4295 HEMPSTEAD TPKE
BETHPAGE, NY 11714

Nassau County (516) 731-4724

SPENCER F. DUBOV, D.P.M., P.C.

Podiatrist (Foot Surgery)

4295 HEMPSTEAD TPKE, NEW ISLAND HOSPITAL/PHYSICIANS OFFICE
BETHPAGE, NY 11714

Nassau County (631) 858-0011

DIABETES MANAGEMENT PARTNERS LLC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

4295 HEMPSTEAD TPKE
BETHPAGE, NY 11714

Nassau County (904) 372-3943

WSNCHS NORTH, INC.

General Acute Care Hospital

4295 HEMPSTEAD TPKE
BETHPAGE, NY 11714

Nassau County (516) 579-6000

DR. ANDREW GRAHAM WATLING DO

Anesthesiology

4295 HEMPSTEAD TPKE
BETHPAGE, NY 11714

Nassau County (516) 579-6000

LISA ABRAHAM PA-C

Physician Assistant

4295 HEMPSTEAD TPKE
BETHPAGE, NY 11714

Nassau County (516) 579-6000

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 Jenee Brock's NPI number?

The NPI number for Jenee Brock is 1821828492. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Jenee Brock located?

Jenee Brock practices at 4295 Hempstead Tpke, Bethpage, NY 11714. The listed phone number is (904) 372-3943.

What is Jenee Brock's specialty?

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

Is Jenee Brock enrolled in Medicare?

Yes. Jenee Brock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenee Brock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenee Brock reassigns Medicare benefits to Diabetes Management Partners LLC (Bethpage, 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 Jenee Brock'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 Jenee Brock was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.