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

MS. Jessica Prudencio, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1215749486

MS. Jessica Prudencio, PMHNP-BC is a Nurse Practitioner in Garden City, New York. Qualified in 2024, 2 years ago. Practices with Mercy Medical Center, a 83-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

506 Stewart Ave
Garden City, NY 11530-4706
Phone: (516) 705-3400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F406381-01 (NY)

Record details

NPI number1215749486
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedJanuary 23, 2025
Last updated in NPPESOctober 26, 2025
Certification dateOctober 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mercy Medical Center — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Garden City