ELISA STICKELMAN ANP
NPI 1184716367
Nurse Practitioner - Adult Health in East Setauket, NY
About Elisa Stickelman Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISA STICKELMAN ANP (NPI 1184716367) is an individual adult health provider in East Setauket, New York, licensed in New York (F303865) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elisa Stickelman Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elisa Stickelman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syosset, NY 11791
- Reassigned Medicare billing, New York enrollment
- 9 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 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.
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.
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
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 Elisa Stickelman's NPI number?
The NPI number for Elisa Stickelman is 1184716367. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Elisa Stickelman located?
Elisa Stickelman practices at 45 Research Way Suite 008 & 108, East Setauket, NY 11733. The listed phone number is (631) 941-2704.
What is Elisa Stickelman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Elisa Stickelman enrolled in Medicare?
Yes. Elisa Stickelman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elisa Stickelman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Stickelman reassigns Medicare benefits to North Shore - Lij Medical Group At Syosset PC (Syosset, 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 Elisa Stickelman'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 Elisa Stickelman was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.