JESSICA LUCIELL CASILLA MARTE
NPI 1922961002
Nurse Practitioner - Family in Bronx, NY

Q: What is Jessica Casilla Marte's NPI number?

The NPI number for Jessica Casilla Marte is 1922961002. It was assigned to this individual provider in the NPPES registry on December 5, 2025.

Q: What is Jessica Casilla Marte's specialty?

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

Active since December 05, 2025PECOS EnrolledAccepts Medicare Assignment

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 583-7736(347) 479-1303 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica Luciell Casilla Marte NPPES

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

JESSICA LUCIELL CASILLA MARTE (NPI 1922961002) is an individual family provider in Bronx, New York, licensed in New York (358343) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1922961002

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA LUCIELL CASILLA MARTE

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address2626 Halperin AveBronx, NY 10461-2631 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 583-7736

Fax(347) 479-1303

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 5, 2025

NPPES CertifiedDecember 5, 2025

✔ NPI 1922961002 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 · 358343

2015 GRAND CONCOURSE, Bronx, NY 10453

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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

Jessica Luciell Casilla Marte 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 ID5395229165

PECOS Enrollment IDI20260319001518

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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.

MANA RAO M.D.

Internal Medicine (Infectious Disease)