AMY B BAILEY ANP
NPI 1104158088
Nurse Practitioner - Adult Health in Riverhead, NY
About Amy B Bailey Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY B BAILEY ANP (NPI 1104158088) is an individual adult health provider in Riverhead, New York, licensed in New York (304566) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy B Bailey Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mattituck, NY 11952
- Reassigned Medicare billing, New York enrollment
- 70 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RIVERHEAD, NY 11901
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 Amy Bailey's NPI number?
The NPI number for Amy Bailey is 1104158088. It was assigned to this individual provider in the NPPES registry on February 3, 2010.
Where is Amy Bailey located?
Amy Bailey practices at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 548-6207.
What is Amy Bailey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Amy Bailey enrolled in Medicare?
Yes. Amy Bailey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Bailey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Bailey reassigns Medicare benefits to Peconic Bay Primary Medical Care (Mattituck, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Bailey was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Amy B Bailey, ANP · NPI 1104158088
Adult Health physician in Riverhead, New York. Individual provider, active in the CMS NPPES registry since February 3, 2010.
## Identity
- **NPI:** 1104158088 (Entity type: Individual)
- **Enumerated:** February 3, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 304566 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 ROANOKE AVE, Riverhead, NY 11901-2031
- **Phone:** (631) 548-6207
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peconic Bay Primary Medical Care (NPI 1487620613, Mattituck, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2010
---
Source: [NPI Profile](https://npiprofile.com/npi/1104158088) · Data from the CMS NPPES public registry.