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JONATHAN DILLERA NIETES MSN, AGPC NP
NPI 1972104958
Nurse Practitioner - Adult Health in New York, NY

Active since November 05, 2020PECOS EnrolledAccepts Medicare Assignment
425 W 59TH ST STE 4F, NEW YORK, NY 10019(212) 241-1272 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2023, Nov 5, 2020 (2 updates tracked since 2020).

About Jonathan Dillera Nietes Msn, Agpc Np NPPES

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

JONATHAN DILLERA NIETES MSN, AGPC NP (NPI 1972104958) is an individual adult health provider in New York, New York, licensed in New York (F309611) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Elmhurst, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972104958
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJONATHAN DILLERA NIETESCredential: MSN, AGPC NP
Location Address425 W 59TH ST STE 4FNew York, NY 10019-8022
Mailing Address425 W 59th St Ste 4fNew York, NY 10019-8022 · (917) 982-6498
Phone(212) 241-1272
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 5, 2020
Last NPPES UpdateFebruary 10, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
✔ NPI 1972104958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F309611
425 W 59TH ST STE 4F, New York, NY 10019
Open in Google Maps ↗

Secondary Practice Location 1

Location 14411 MacNish St Apt 1GElmhurst, NY 11373-3609 · Phone (917) 982-6498

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

Jonathan Dillera Nietes Msn, Agpc Np 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 ID244633014
PECOS Enrollment IDI20210730002802
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 5

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
180 services158 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services92 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
95 services88 patients
X-ray of abdomen, minimum of 3 views 74021
An X-ray of the abdomen with a minimum of 3 views is a non-invasive imaging test. It uses a small amount of radiation to produce images of the structures inside your abdomen. This helps in diagnosing conditions related to the stomach, liver, spleen, and kidneys. It's quick and painless.
43 services41 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 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 2

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

VI VU-HA NGUYEN MD
Urology
425 W 59TH ST STE 4F
NEW YORK, NY 10019
New York County (212) 523-3340
ELYSE LIM PA-C
Physician Assistant
425 W 59TH ST STE 4F
NEW YORK, NY 10019
New York County (212) 523-3340

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 Jonathan Nietes's NPI number?

The NPI number for Jonathan Nietes is 1972104958. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Where is Jonathan Nietes located?

Jonathan Nietes practices at 425 W 59th St Ste 4F, New York, NY 10019. The listed phone number is (212) 241-1272.

What is Jonathan Nietes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jonathan Nietes enrolled in Medicare?

Yes. Jonathan Nietes 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.

When was this NPI record last updated?

The NPPES record for Jonathan Nietes was last updated on February 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.