MRS. TRACEY BENNARDO NP
NPI 1194063594
Nurse Practitioner - Family in West Islip, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Tracey Bennardo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Islip, NY 11795
- Reassigned Medicare billing, New York enrollment
- 395 clinicians in this Medicare group
West Islip, NY 11795
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Samaritan Medical Services PC
- 209 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.
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, NYPhysician 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.
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.
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
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.
Which organizations bill Medicare for Tracey Bennardo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Bennardo reassigns Medicare benefits to 2 organizations: Good Samaritan Hospital Medical Center (West Islip, NY) and Samaritan Medical Services, P.C. (West Islip, NY). Each 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 Tracey Bennardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mrs. Tracey Bennardo, NP · NPI 1194063594
Family physician in West Islip, New York. Individual provider, active in the CMS NPPES registry since January 21, 2013.
## Identity
- **NPI:** 1194063594 (Entity type: Individual)
- **Enumerated:** January 21, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 336543 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MONTAUK HWY, West Islip, NY 11795-4927
- **Phone:** (631) 376-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Good Samaritan Hospital Medical Center (NPI 1518901180, West Islip, NY); Samaritan Medical Services, P.C. (NPI 1124184544, West Islip, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** January 21, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1194063594) · Data from the CMS NPPES public registry.