TETYANA PENSABENE
NPI 1083480784
Physician Assistant in Staten Island, NY

Q: What is Tetyana Pensabene's NPI number?

The NPI number for Tetyana Pensabene is 1083480784. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Q: What is Tetyana Pensabene's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tetyana Pensabene was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 04, 2023PECOS EnrolledAccepts Medicare Assignment

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9000 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Apr 10, 2024, Dec 4, 2023 (3 updates tracked since 2023).

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About Tetyana Pensabene NPPES

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

TETYANA PENSABENE (NPI 1083480784) is an individual physician assistant in Staten Island, New York, licensed in New York (031426) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083480784

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTETYANA PENSABENE

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address475 Seaview AveStaten Island, NY 10305-3436

Phone(718) 226-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 4, 2023

Last NPPES UpdateMay 18, 20263 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1083480784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 031426

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

475 SEAVIEW AVE, Staten Island, NY 10305

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tetyana Pensabene is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678914033

PECOS Enrollment IDI20240516000638

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330160

Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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 20

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

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)