EBONY PRINCESS THYME FNP
NPI 1962968396
Nurse Practitioner - Family in Bronx, NY

Q: 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.

Q: What is Ebony Thyme's specialty?

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

Q: 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 3 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.

Active since February 11, 2019PECOS EnrolledAccepts Medicare Assignment

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2022, Feb 25, 2019, Feb 12, 2019 (3 updates tracked since 2019).

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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

NPI1962968396

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEBONY PRINCESS THYMECredential: FNP

Location Address2015 GRAND CONCOURSEBronx, NY 10453

Mailing Address3198 Grand ConcourseBronx, NY 10458-1000 · (718) 618-0401

Phone(718) 299-7295

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2018

Enumeration DateFebruary 11, 2019

Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration

NPPES CertifiedOctober 19, 2022

✔ NPI 1962968396 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 · 344076

2015 GRAND CONCOURSE, Bronx, NY 10453

Open in Google Maps ↗

Secondary Practice Locations 5

Location 1107 W 4th StMount Vernon, NY 10550-4002 · Phone (914) 699-7220

Location 21434 Williamsbridge RdBronx, NY 10461-2507 · Phone (718) 635-2157

Location 338 Concord RdMonticello, NY 12701-3210 · Phone (845) 333-6500

Location 4102 Clowes AveGoshen, NY 10924-1956 · Phone (845) 333-7200

Location 5707 E Main StMiddletown, NY 10940-2650 · Phone (845) 333-7575

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

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

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.

PECOS PAC ID4688916539

PECOS Enrollment IDI20190425001555

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

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.

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

18 services18 patients

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)