EBONY PRINCESS THYME FNP
NPI 1962968396
Nurse Practitioner - Family in Bronx, NY
About Ebony Princess Thyme Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY PRINCESS THYME FNP (NPI 1962968396) is an individual family provider in Bronx, New York, licensed in New York (344076) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of State University Of Ny Upstate Medical University (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ebony Princess Thyme Fnp 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.
Medicare Billing Reassignments
8Medicare enrollment records show Ebony Thyme reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10453
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
New York, NY 10030
- Reassigned Medicare billing, New York enrollment
- 49 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- 1,054 clinicians in this Medicare group
Brooklyn, NY 11206
- Reassigned Medicare billing, New York enrollment
- 49 clinicians in this Medicare group
Rockville Centre, NY 11570
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: North Shore Lij Urgent Care PC
- 210 clinicians in this Medicare group
Yorktown Heights, NY 10598
- Reassigned Medicare billing, New York enrollment
- 149 clinicians in this Medicare group
Baltimore, MD 21212
- Reassigned Medicare billing, District of Columbia enrollment
- 309 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
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.
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.
BRONX, NY 10453
BRONX, NY 10453
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 Ebony Thyme's NPI number?
The NPI number for Ebony Thyme is 1962968396. It was assigned to this individual provider in the NPPES registry on February 11, 2019.
Where is Ebony Thyme located?
Ebony Thyme practices at 2015 Grand Concourse, Bronx, NY 10453. The listed phone number is (718) 299-7295.
What is Ebony Thyme's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ebony Thyme enrolled in Medicare?
Yes. Ebony Thyme 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.
Which organizations bill Medicare for Ebony Thyme's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Thyme reassigns Medicare benefits to 8 organizations: Essen Medical Associates, PC (Bronx, NY), Essen Medical Urgicare, PLLC (Bronx, NY), Upper Room Aids Ministry, Inc. Adult Day Health Care Center. (New York, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Modern Physician Services PC (Brooklyn, NY) and 3 more organizations, listed in the Medicare section above. 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 Ebony Thyme'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 Ebony Thyme was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ebony Princess Thyme, FNP · NPI 1962968396
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since February 11, 2019.
## Identity
- **NPI:** 1962968396 (Entity type: Individual)
- **Enumerated:** February 11, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 344076 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2015 GRAND CONCOURSE, Bronx, NY 10453
- **Phone:** (718) 299-7295
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Essen Medical Associates, PC (NPI 1366418709, Bronx, NY); Essen Medical Urgicare, PLLC (NPI 1841607298, Bronx, NY); Upper Room Aids Ministry, Inc. Adult Day Health Care Center. (NPI 1417986340, New York, NY); House Call Medical Services Of New York, PLLC (NPI 1851345946, Bronx, NY); Modern Physician Services PC (NPI 1932590601, Brooklyn, NY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 2018
## Record status
- **NPPES last updated:** October 19, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1962968396) · Data from the CMS NPPES public registry.