Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jeniece Geronimo, PMHNP

Individual provider Registered Nurse · NPI 1053031310

Mrs. Jeniece Geronimo, PMHNP is a Nurse Practitioner in New Haven, Connecticut. Qualified in 2022, 4 years ago. Practices with Cornell Scott Hill Health Corporation, a 258-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
4
Licensed in
CT, NY
In the registry since
2022
Specialties on file
4
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

226 Dixwell Ave
New Haven, CT 06511-3456
Phone: (203) 503-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11208 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 698659 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 129255 (CT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 404431 (NY)

Record details

NPI number1053031310
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cornell Scott Hill Health Corporation — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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