Jessica Prudencio, PMHNP-BC
NPI 1215749486 · Psychiatric/Mental Health Nurse Practitioner · Garden City, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Prudencio, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Garden City, NY (NPI 1215749486).
Provider details
- NPI number
- 1215749486
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- F406381-01 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-23
- Last updated
- 2025-10-26
- Certified
- 2025-10-26
Frequently asked questions
- What is Jessica Prudencio's NPI number?
- Jessica Prudencio's National Provider Identifier (NPI) is 1215749486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Prudencio's specialty?
- Jessica Prudencio is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Prudencio located?
- Jessica Prudencio's practice location on file with NPPES is 506 Stewart Ave, Garden City, NY 11530-4706.
- What is Jessica Prudencio's phone number?
- The practice phone number listed in the NPPES registry for Jessica Prudencio is (516) 705-3400.
- Does Jessica Prudencio accept Medicare?
- Jessica Prudencio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Prudencio's NPI active?
- Yes — Jessica Prudencio's NPI (1215749486) is active in the NPPES registry as of the last update on 2025-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.