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TAKEISHA JUDKINS NURSE PRACTITIONER
NPI 1891066429
Nurse Practitioner - Family in Jamaica, NY

Active since January 12, 2012PECOS EnrolledAccepts Medicare Assignment
17301 141RD RD, JAMAICA, NY 11434(718) 522-0832 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 26, 2024, Aug 16, 2021 (2 updates tracked since 2021).

About Takeisha Judkins Nurse Practitioner NPPES

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

TAKEISHA JUDKINS NURSE PRACTITIONER (NPI 1891066429) is an individual family provider in Jamaica, New York, licensed in New York (348062) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891066429
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAKEISHA JUDKINSCredential: NURSE PRACTITIONER
Location Address17301 141RD RDJamaica, NY 11434-4620
Mailing Address17301 141rd RdJamaica, NY 11434-4620 · (718) 522-0832
Phone(718) 522-0832
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 12, 2012
Last NPPES UpdateDecember 26, 20242 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1891066429 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 · 348062
Also ListedRegistered NurseTaxonomy 163W00000X · License 672632 (NY)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 014019 (CT), 406461 (NY)
17301 141RD RD, Jamaica, NY 11434
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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

Takeisha Judkins Nurse Practitioner 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 ID6305234964
PECOS Enrollment IDI20211101001801
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.

Areas of Expertise CMS Part B claims 3

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.
76 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11434 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.

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 Takeisha Judkins's NPI number?

The NPI number for Takeisha Judkins is 1891066429. It was assigned to this individual provider in the NPPES registry on January 12, 2012.

Where is Takeisha Judkins located?

Takeisha Judkins practices at 17301 141rd Rd, Jamaica, NY 11434. The listed phone number is (718) 522-0832.

What is Takeisha Judkins's specialty?

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

Is Takeisha Judkins enrolled in Medicare?

Yes. Takeisha Judkins 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.

Is Takeisha Judkins affiliated with any hospitals?

According to CMS data, Takeisha Judkins is affiliated with Long Island Community Hospital.

When was this NPI record last updated?

The NPPES record for Takeisha Judkins was last updated on December 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.