LARA M TREGILLIES NP
NPI 1124668751
Nurse Practitioner - Family in Staten Island, NY
About Lara M Tregillies Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARA M TREGILLIES NP (NPI 1124668751) is an individual family provider in Staten Island, New York, licensed in New York (344841) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lara M Tregillies Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lara Tregillies reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 1,177 clinicians in this Medicare group
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 61 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 10306 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10306
STATEN ISLAND, NY 10306
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 Lara Tregillies's NPI number?
The NPI number for Lara Tregillies is 1124668751. It was assigned to this individual provider in the NPPES registry on January 11, 2020.
Where is Lara Tregillies located?
Lara Tregillies practices at 130 Rose Ave, Staten Island, NY 10306. The listed phone number is (718) 980-1553.
What is Lara Tregillies's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lara Tregillies enrolled in Medicare?
Yes. Lara Tregillies is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lara Tregillies's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lara Tregillies reassigns Medicare benefits to 2 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY) and Maimonides Cardiology Fpp (Brooklyn, NY). Each 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 Lara Tregillies'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 Lara Tregillies was last updated on January 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lara M Tregillies, NP · NPI 1124668751
Family physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since January 11, 2020.
## Identity
- **NPI:** 1124668751 (Entity type: Individual)
- **Enumerated:** January 11, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 344841 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 130 ROSE AVE, Staten Island, NY 10306-2241
- **Phone:** (718) 980-1553
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Maimonides Faculty Practice Plan (NPI 1053344846, Brooklyn, NY); Maimonides Cardiology Fpp (NPI 1477803385, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124668751) · Data from the CMS NPPES public registry.