ARELYS ITWARU PMHNP-BC - NPI 1053729376 - Nurse Practitioner in Port Jefferson Station, NY

Q: What is Arelys Itwaru's NPI number?

The NPI number for Arelys Itwaru is 1053729376. It was assigned to this individual provider in the NPPES registry on July 30, 2014.

Q: What is Arelys Itwaru's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Arelys Itwaru was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Arelys Itwaru Pmhnp-bc NPPES

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

ARELYS ITWARU PMHNP-BC (NPI 1053729376) is an individual psychiatric/mental health provider in Port Jefferson Station, New York, licensed in New York (F407163-01) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053729376

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameARELYS ITWARUCredential: PMHNP-BC

Location Address4655 NESCONSET HWYPort Jefferson Station, NY 11776-2579

Mailing Address1527 Pine Acres BlvdBay Shore, NY 11706-2427 · (631) 889-4251

Phone(631) 331-2424

Sole ProprietorYes

Enumeration DateJuly 30, 2014

Last NPPES UpdateApril 13, 20262 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1053729376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F407163-01

Also ListedRegistered NurseTaxonomy 163W00000X · License 746026 (NY)

4655 NESCONSET HWY, Port Jefferson Station, NY 11776

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arelys Itwaru Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 5

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

JEANNE M. MORRIS-FOLEY, NP PSYCHIATRY, P.C.

Nurse Practitioner