JONATHON CHARLES WENKE FNP
NPI 1124681242
Nurse Practitioner - Family in Bay Shore, NY

Q: What is Jonathon Wenke's NPI number?

The NPI number for Jonathon Wenke is 1124681242. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Q: What is Jonathon Wenke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathon Wenke was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 15, 2019PECOS EnrolledAccepts Medicare Assignment

375 E MAIN ST STE 26, BAY SHORE, NY 11706(631) 891-6200(631) 350-7803 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Jun 11, 2019, Apr 15, 2019 (3 updates tracked since 2019).

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About Jonathon Charles Wenke Fnp NPPES

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

JONATHON CHARLES WENKE FNP (NPI 1124681242) is an individual family provider in Bay Shore, New York, licensed in New York (344101) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124681242

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJONATHON CHARLES WENKECredential: FNP

Location Address375 E MAIN ST STE 26Bay Shore, NY 11706-8418

Mailing Address1 E Roe BlvdPatchogue, NY 11772-2631 · (631) 475-3900 · Fax (631) 475-5166

Phone(631) 891-6200

Fax(631) 350-7803

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateApril 15, 2019

Last NPPES UpdateMay 6, 20263 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1124681242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 344101

375 E MAIN ST STE 26, Bay Shore, NY 11706

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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

Jonathon Charles Wenke Fnp 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 ID6709217730

PECOS Enrollment IDI20200507001533

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 11706 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers13 claims42 services$5.33 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

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

YOUNG PARK

Family Medicine

375 E MAIN ST STE 26
BAY SHORE, NY 11706

Suffolk County (631) 891-6200

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 Jonathon Wenke's NPI number?

The NPI number for Jonathon Wenke is 1124681242. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Jonathon Wenke located?

Jonathon Wenke practices at 375 E Main St Ste 26, Bay Shore, NY 11706. The listed phone number is (631) 891-6200.

What is Jonathon Wenke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jonathon Wenke enrolled in Medicare?

Yes. Jonathon Wenke 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.

When was this NPI record last updated?

The NPPES record for Jonathon Wenke was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.