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JESSICA SANTOS PACANNUAYAN
NPI 1932449162
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since February 25, 2013PECOS Enrolled
121A WEST 20TH STREET, NEW YORK, NY 10011(212) 337-9284(212) 337-9275 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Santos Pacannuayan NPPES

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

JESSICA SANTOS PACANNUAYAN (NPI 1932449162) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (401561) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932449162
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA SANTOS PACANNUAYAN
Location Address121A WEST 20TH STREETNew York, NY 10011
Mailing Address2815 33rd St, Apt. 1rAstoria, NY 11102-1379
Phone(212) 337-9284
Fax(212) 337-9275
Sole ProprietorYes
Enumeration DateFebruary 25, 2013
Last NPPES UpdateMarch 28, 2014
✔ NPI 1932449162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 401561
121A WEST 20TH STREET, New York, NY 10011
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Santos Pacannuayan 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 Reassignment

Medicare enrollment records show Jessica Pacannuayan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Housing Works Services II, Inc
3.4 mi
Federally Qualified Health Center (FQHC)
57 WILLOUGHBY ST
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 41 clinicians in this Medicare group
NPI 1083647101 (718) 408-6522

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 10011 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH D KIMBLE
Internal Medicine
121A WEST 20TH STREET
NEW YORK, NY 10011
New York County (212) 505-6663
VILLAGE DIAGNOSTIC AND TREATMENT CENTER
Clinic/Center
121A WEST 20TH STREET
NEW YORK, NY 10011
New York County (212) 337-9290
MS. MICHELLE KAREN SAMUELS II NP
Nurse Practitioner (Adult Health)
121A WEST 20TH STREET
NEW YORK, NY 10011
New York County (212) 337-5665
OLUWATOSIN SHOKEYE
Nurse Practitioner (Family)
121A WEST 20TH STREET, VILLAGE DIAGNOSTIC & TREATMENT CENTER
NEW YORK, NY 10011
New York County (212) 337-9290
ALICE RIEGEL DDS
Dentist (General Practice)
121A WEST 20TH STREET
NEW YORK, NY 10011
New York County (212) 337-9290

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 Jessica Pacannuayan's NPI number?

The NPI number for Jessica Pacannuayan is 1932449162. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Where is Jessica Pacannuayan located?

Jessica Pacannuayan practices at 121A West 20th Street, New York, NY 10011. The listed phone number is (212) 337-9284.

What is Jessica Pacannuayan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Pacannuayan enrolled in Medicare?

Yes. Jessica Pacannuayan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Pacannuayan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Pacannuayan reassigns Medicare benefits to Housing Works Services II, Inc (Brooklyn, NY). The 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 Jessica Pacannuayan'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 Jessica Pacannuayan was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.