CAROLE RANDI CAPPARELLI ANP
NPI 1083790364
Nurse Practitioner - Adult Health in Smithtown, NY

Active since October 28, 2006PECOS EnrolledAccepts Medicare Assignment
86.49/100
CMS Quality Rating
50 ROUTE 25A, SMITHTOWN, NY 11787(631) 862-3000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carole Randi Capparelli Anp NPPES

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

CAROLE RANDI CAPPARELLI ANP (NPI 1083790364) is an individual adult health provider in Smithtown, New York, licensed in New York (F302949-1) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1083790364
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCAROLE RANDI CAPPARELLICredential: ANP
Location Address50 ROUTE 25ASmithtown, NY 11787-1348
Mailing Address118 Stethem DrCentereach, NY 11720-4082 · (631) 580-2787
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083790364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F302949-1
50 ROUTE 25A, Smithtown, NY 11787

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

Carole Randi Capparelli Anp 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 ID345306353
PECOS Enrollment IDI20090226000566
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
3,355 services213 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,100 services144 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
320 services119 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
254 services166 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
244 services117 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
191 services91 patients

Hospital Affiliations CMS Care Compare

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

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost24.36

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims19 services$67.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Internal Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
Internal Medicine (Infectious Disease)
50 ROUTE 25A
SMITHTOWN, NY 11787
Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Internal Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
General Acute Care Hospital
50 ROUTE 25A
SMITHTOWN, NY 11787
Emergency Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carole Capparelli's NPI number?

The NPI number for Carole Capparelli is 1083790364. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Carole Capparelli located?

Carole Capparelli practices at 50 Route 25A, Smithtown, NY 11787. The listed phone number is (631) 862-3000.

What is Carole Capparelli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carole Capparelli enrolled in Medicare?

Yes. Carole Capparelli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Carole Capparelli affiliated with any hospitals?

According to CMS data, Carole Capparelli is affiliated with St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Carole Capparelli was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.