YASMINDA SUE DOWNER-MUSE FNP
NPI 1831698042
Nurse Practitioner - Family in New York, NY

Active since February 03, 2018PECOS EnrolledAccepts Medicare Assignment
70.22/100
CMS Quality Rating
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 27, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Yasminda Sue Downer-muse Fnp NPPES

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

YASMINDA SUE DOWNER-MUSE FNP (NPI 1831698042) is an individual family provider in New York, New York, licensed in New York (342610) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831698042
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYASMINDA SUE DOWNER-MUSECredential: FNP
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address233 Ashford AveDobbs Ferry, NY 10522-1908 · (646) 372-7256
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 3, 2018
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1831698042 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 · 342610
1275 YORK AVE, New York, NY 10065

Other Names 1

Former Name (1)Yasminda Sue Downer

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yasminda Sue Downer-muse Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628401775
PECOS Enrollment IDI20191204001999, I20230825003430
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

3

Medicare enrollment records show Yasminda Downer-muse reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 69 clinicians in this Medicare group
General Acute Care Hospital
5 PERRYRIDGE RD
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • 268 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut, Delaware and New York enrollments
  • 613 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.

Areas of Expertise CMS Part B claims 4

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 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.
49 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.44
Promoting Interoperability73
Improvement Activities40
Cost28.81

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.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Yasminda Downer-muse's NPI number?

The NPI number for Yasminda Downer-muse is 1831698042. It was assigned to this individual provider in the NPPES registry on February 3, 2018. The provider is also known as Yasminda Sue Downer.

Where is Yasminda Downer-muse located?

Yasminda Downer-muse practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.

What is Yasminda Downer-muse's specialty?

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

Is Yasminda Downer-muse enrolled in Medicare?

Yes. Yasminda Downer-muse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Yasminda Downer-muse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yasminda Downer-muse reassigns Medicare benefits to 3 organizations: Memorial Psychiatry Group (New York, NY), Greenwich Hospital (Greenwich, CT) and Grow Healthcare Group PA (Miami, FL). 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 Yasminda Downer-muse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yasminda Downer-muse accept?

Health plans from Anthem Blue Cross and Blue Shield list Yasminda Downer-muse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yasminda Downer-muse was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.