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KATLIN MAY ENRIQUEZ AGNP-C
NPI 1215767629
Nurse Practitioner - Adult Health in Centereach, NY

Active since August 02, 2024PECOS Enrolled
4 ROSA CT, CENTEREACH, NY 11720(631) 335-7077 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katlin May Enriquez Agnp-c NPPES

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

KATLIN MAY ENRIQUEZ AGNP-C (NPI 1215767629) is an individual adult health provider in Centereach, New York, licensed in New York (311853) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1215767629
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATLIN MAY ENRIQUEZCredential: AGNP-C
Location Address4 ROSA CTCentereach, NY 11720-4382
Mailing Address4 Rosa CtCentereach, NY 11720-4382 · (631) 335-7077
Phone(631) 335-7077
Sole ProprietorNo
Enumeration DateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
✔ NPI 1215767629 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 · 311853
4 ROSA CT, Centereach, NY 11720
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Secondary Practice Location 1

Location 1101 Nicolls RdStony Brook, NY 11794-0001 · Phone (631) 689-8333

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katlin May Enriquez Agnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Katlin Enriquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Internists, University Faculty Practice Corporation
3.6 mi
Pulmonary Disease
SUNY @ STONY BROOK, HSC, L16, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 177 clinicians in this Medicare group
NPI 1104865229 (631) 444-2448

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 11720 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.

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 Katlin Enriquez's NPI number?

The NPI number for Katlin Enriquez is 1215767629. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Where is Katlin Enriquez located?

Katlin Enriquez practices at 4 Rosa Ct, Centereach, NY 11720. The listed phone number is (631) 335-7077.

What is Katlin Enriquez's specialty?

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

Is Katlin Enriquez enrolled in Medicare?

Yes. Katlin Enriquez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katlin Enriquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katlin Enriquez reassigns Medicare benefits to Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, 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 Katlin Enriquez'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 Katlin Enriquez was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.