1. Home
  2. Directory
  3. New York
  4. West Islip
  5. Nurse Practitioner
  6. NPI Profile

MRS. TRACEY BENNARDO NP
NPI 1194063594
Nurse Practitioner - Family in West Islip, NY

Active since January 21, 2013PECOS EnrolledAccepts Medicare Assignment
1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-3000 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Tracey Bennardo Np NPPES

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

MRS. TRACEY BENNARDO NP (NPI 1194063594) is an individual family provider in West Islip, New York, licensed in New York (336543) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2010).

NPPES Registry Identity

NPI1194063594
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TRACEY BENNARDOCredential: NP
Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927
Mailing Address111 Cedarhurst StIslip Terrace, NY 11752-1037 · (631) 650-1625
Phone(631) 376-3000
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2010
Enumeration DateJanuary 21, 2013
✔ NPI 1194063594 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 · 336543
1000 MONTAUK HWY, West Islip, NY 11795
Open in Google Maps ↗

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

Mrs. Tracey Bennardo Np 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 ID1254658503
PECOS Enrollment IDI20150325000675
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.

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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.

DR. ANTHONY NGUYEN MD
Obstetrics & Gynecology
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
LAUREN MARIE CHOBAN DO
Emergency Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
MISS MUNMUN AZIZ MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (929) 340-5665
TERENCE JAMES OMALLEY MD
Anesthesiology
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795
Suffolk County (631) 376-4088
PIOTR PAPUZINSKI MD
Internal Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
LAURIE WATERS PA
Physician Assistant
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
SHELLEY MATSON RN
Registered Nurse
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
RIDDA MANZOOR MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163

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 Tracey Bennardo's NPI number?

The NPI number for Tracey Bennardo is 1194063594. It was assigned to this individual provider in the NPPES registry on January 21, 2013.

Where is Tracey Bennardo located?

Tracey Bennardo practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-3000.

What is Tracey Bennardo's specialty?

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

Is Tracey Bennardo enrolled in Medicare?

Yes. Tracey Bennardo 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 Tracey Bennardo affiliated with any hospitals?

According to CMS data, Tracey Bennardo is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Tracey Bennardo was last updated on January 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.