ELIZABETH ANNE BENNETT-GARGUILO PMHNP
NPI 1225716426
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY
About Elizabeth Anne Bennett-garguilo Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH ANNE BENNETT-GARGUILO PMHNP (NPI 1225716426) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New York (407509) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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
Elizabeth Anne Bennett-garguilo Pmhnp 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 Elizabeth Bennett-garguilo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10016
- Reassigned Medicare billing, New Jersey enrollment
- 21 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 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 10301 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elizabeth Bennett-garguilo's NPI number?
The NPI number for Elizabeth Bennett-garguilo is 1225716426. It was assigned to this individual provider in the NPPES registry on July 7, 2023.
Where is Elizabeth Bennett-garguilo located?
Elizabeth Bennett-garguilo practices at 57 Bay St, Staten Island, NY 10301. The listed phone number is (855) 681-8700.
What is Elizabeth Bennett-garguilo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Elizabeth Bennett-garguilo enrolled in Medicare?
Yes. Elizabeth Bennett-garguilo 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 Elizabeth Bennett-garguilo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Bennett-garguilo reassigns Medicare benefits to 2 organizations: Big Leap Medical Group PA (New York, NY) and Sun River Health Inc (Bronx, 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 Elizabeth Bennett-garguilo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Bennett-garguilo accept?
Health plans from Moda Health Plan, Inc. and Oscar Health list Elizabeth Bennett-garguilo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elizabeth Bennett-garguilo was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Elizabeth Anne Bennett-Garguilo, PMHNP · NPI 1225716426
Psychiatric/Mental Health physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since July 7, 2023.
## Identity
- **NPI:** 1225716426 (Entity type: Individual)
- **Enumerated:** July 7, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 407509 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 57 BAY ST, Staten Island, NY 10301-2510
- **Phone:** (855) 681-8700 · **Fax:** (845) 765-9324
## 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): Big Leap Medical Group PA (NPI 1821841503, New York, NY); Sun River Health Inc (NPI 1740763275, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 11, 2026
- **Other identifiers:** Medicaid 08409538 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1225716426) · Data from the CMS NPPES public registry.