JOHAN AGUDELO PMHNP-BC
NPI 1851249114
Nurse Practitioner - Psychiatric/Mental Health in New York, NY
About Johan Agudelo Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHAN AGUDELO PMHNP-BC (NPI 1851249114) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (408048) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Johan Agudelo Pmhnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10034
NEW YORK, NY 10034
NEW YORK, NY 10034
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 Johan Agudelo's NPI number?
The NPI number for Johan Agudelo is 1851249114. It was assigned to this individual provider in the NPPES registry on March 20, 2026.
Where is Johan Agudelo located?
Johan Agudelo practices at 5030 Broadway, New York, NY 10034. The listed phone number is (844) 663-2255.
What is Johan Agudelo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Johan Agudelo enrolled in Medicare?
Yes. Johan Agudelo 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.
When was this NPI record last updated?
The NPPES record for Johan Agudelo was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Johan Agudelo, PMHNP-BC · NPI 1851249114
Psychiatric/Mental Health physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 20, 2026.
## Identity
- **NPI:** 1851249114 (Entity type: Individual)
- **Enumerated:** March 20, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 408048 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5030 BROADWAY, New York, NY 10034-1609
- **Phone:** (844) 663-2255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1851249114) · Data from the CMS NPPES public registry.