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MIRLYNE ANDRE NP
NPI 1902306509
Nurse Practitioner - Primary Care in Brooklyn, NY

Active since February 20, 2018PECOS Enrolled
1587 E 49TH ST, BROOKLYN, NY 11234(929) 302-1856 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2024, Feb 20, 2018 (2 updates tracked since 2018).

About Mirlyne Andre Np NPPES

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

MIRLYNE ANDRE NP (NPI 1902306509) is an individual primary care provider in Brooklyn, New York, licensed in New York (F354158-01) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902306509
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMIRLYNE ANDRECredential: NP
Location Address1587 E 49TH STBrooklyn, NY 11234-3126
Mailing Address1587 E 49th StBrooklyn, NY 11234-3126 · (929) 302-1856
Phone(929) 302-1856
Sole ProprietorNo
Enumeration DateFebruary 20, 2018
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1902306509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · F354158-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 744373 (NY)
1587 E 49TH ST, Brooklyn, NY 11234
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Other Names 1

Professional Name (2)Mirlyne Andre Fnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirlyne Andre Np 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 Mirlyne Andre reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elnunu Medical PC
2.3 mi
Pediatrics
2311 CONEY ISLAND AVE
Brooklyn, NY 11223
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1235470238 (646) 872-6818
Special Medical PC
3.5 mi
Adult Medicine
699 B STANLEY AVENUE
Brooklyn, NY 11207
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group
NPI 1548700925 (347) 689-8880

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 11234 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.

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 Mirlyne Andre's NPI number?

The NPI number for Mirlyne Andre is 1902306509. It was assigned to this individual provider in the NPPES registry on February 20, 2018. The provider is also known as Mirlyne Andre Fnp.

Where is Mirlyne Andre located?

Mirlyne Andre practices at 1587 E 49th St, Brooklyn, NY 11234. The listed phone number is (929) 302-1856.

What is Mirlyne Andre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mirlyne Andre enrolled in Medicare?

Yes. Mirlyne Andre is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mirlyne Andre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirlyne Andre reassigns Medicare benefits to 2 organizations: Elnunu Medical PC (Brooklyn, NY) and Special Medical PC (Brooklyn, 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 Mirlyne Andre'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 Mirlyne Andre was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.