Jasmin Maghsoudlou, FNP
NPI 1588437057ActiveIndividual· Nurse Practitioner, Family· Manorville, NY
Nurse Practitioner, Family (FNP) with Peconic Bay Primary Medical Care, practicing in Manorville, New York. Enrolled in Medicare as practitioner - nurse practitioner. Lists Peconic Bay Medical Center as a hospital affiliation.
Overview
| NPI | 1588437057 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Nov 6, 2023 |
| Last updated in NPPES | Nov 18, 2024 |
| Certified by provider | Nov 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 355053 | NY |
| Registered Nurse | 163W00000X | 192743 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Peconic Bay Primary Medical CareRiverhead, NY · 71 clinicians
Hospital affiliation
- Peconic Bay Medical CenterRiverhead, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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