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SHERYLL ANN POLLO BALTAZAR NP-C
NPI 1184162620
Nurse Practitioner - Adult Health in East Setauket, NY

Active since February 04, 2017PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
181 N BELLE MEAD RD, EAST SETAUKET, NY 11733(631) 444-2599 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2022, Feb 27, 2017, Feb 22, 2017 and 1 more (4 updates tracked since 2017).

About Sheryll Ann Pollo Baltazar Np-c NPPES

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

SHERYLL ANN POLLO BALTAZAR NP-C (NPI 1184162620) is an individual adult health provider in East Setauket, New York, licensed in New York (307950) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184162620
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHERYLL ANN POLLO BALTAZARCredential: NP-C
Location Address181 N BELLE MEAD RDEast Setauket, NY 11733-3495
Mailing Address106 Berkeley AveSelden, NY 11784-1904 · (631) 512-3623
Phone(631) 444-2599
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 4, 2017
Last NPPES UpdateJuly 27, 20224 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
✔ NPI 1184162620 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 · 307950
181 N BELLE MEAD RD, East Setauket, NY 11733
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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

Sheryll Ann Pollo Baltazar Np-c 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 ID4688959737
PECOS Enrollment IDI20170403000413
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 8

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
255 services221 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
107 services107 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services71 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional 95984
This procedure involves the evaluation of implanted neurostimulators in the brain, spinal cord, or peripheral nerves. It includes programming adjustments to optimize its function. A qualified health professional performs this every additional 15 minutes to ensure proper functioning.
34 services11 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
29 services18 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
24 services14 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

JOSEPH S CIRRONE MD
Radiology (Radiation Oncology)
181 N BELLE MEAD RD, SUITE 1
EAST SETAUKET, NY 11733
Suffolk County (631) 689-6776
MS. LORRAINE DANOWSKI R.D.
Dietitian, Registered
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (111) 111-1111
DR. VIVICA VOLLMER M.D.
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (631) 444-5858
BEVERLY ANN DEAN NP
Nurse Practitioner (Family)
181 N BELLE MEAD RD, SUITE 2
EAST SETAUKET, NY 11733
Suffolk County (631) 444-5858
DR. DONNA MELTZER M.D.
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0624
DR. SUSAN DEBEVOISE D.O.
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0624
DR. MARCIA TONNESEN M.D.
Dermatology
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4200
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES
Clinic/Center (Oncology, Radiation)
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Suffolk County (631) 751-3000

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 Sheryll Ann Baltazar's NPI number?

The NPI number for Sheryll Ann Baltazar is 1184162620. It was assigned to this individual provider in the NPPES registry on February 4, 2017.

Where is Sheryll Ann Baltazar located?

Sheryll Ann Baltazar practices at 181 N Belle Mead Rd, East Setauket, NY 11733. The listed phone number is (631) 444-2599.

What is Sheryll Ann Baltazar's specialty?

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

Is Sheryll Ann Baltazar enrolled in Medicare?

Yes. Sheryll Ann Baltazar 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 Sheryll Ann Baltazar affiliated with any hospitals?

According to CMS data, Sheryll Ann Baltazar is affiliated with North Shore University Hospital, St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Sheryll Ann Baltazar was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.