DENISE DRISCOLL
NPI 1164575080
Nurse Practitioner - Psychiatric/Mental Health in Port Jefferson, NY

Q: What is Denise Driscoll's NPI number?

The NPI number for Denise Driscoll is 1164575080. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Denise Driscoll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Denise Driscoll was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 22, 2007PECOS Enrolled

75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320(631) 473-3091 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Denise Driscoll NPPES

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

DENISE DRISCOLL (NPI 1164575080) is an individual psychiatric/mental health provider in Port Jefferson, New York, licensed in New York (F400242-1) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164575080

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDENISE DRISCOLL

Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119

Mailing Address625 Belle Terre Rd, Suite 100Port Jefferson, NY 11777-2316 · (631) 473-1320 · Fax (631) 473-3091

Phone(631) 473-1320

Fax(631) 473-3091

Sole ProprietorNo

Enumeration DateJanuary 22, 2007

Last NPPES UpdateApril 30, 2015

✔ NPI 1164575080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F400242-1

75 N COUNTRY RD, Port Jefferson, NY 11777

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Other Identifiers 2

Medicare UPINP12862NY

Medicare UPIN96N241NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Driscoll is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11777 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.

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.

JUSTINA CATHERINE MELLONE DO

Student in an Organized Health Care Education/Training Program