SUFFOLK NURSE PRACTITIONER IN FAMILY HEALTH PC
NPI 1255280467
Nurse Practitioner - Family in East Setauket, NY
About Suffolk Nurse Practitioner In Family Health Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUFFOLK NURSE PRACTITIONER IN FAMILY HEALTH PC (NPI 1255280467) is a healthcare organization registered as a family in East Setauket, New York and active in the NPI registry since January 2026. The organization lists Doreen Smith, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Suffolk Nurse Practitioner In Family Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Suffolk Nurse Practitioner In Family Health PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Suffolk Nurse Practitioner In Family Health PC's NPI number?
The NPI number for Suffolk Nurse Practitioner In Family Health PC is 1255280467. It was assigned to this organization in the NPPES registry on January 22, 2026.
Where is Suffolk Nurse Practitioner In Family Health PC located?
Suffolk Nurse Practitioner In Family Health PC is located at 140 N Belle Mead Ave Ste G, East Setauket, NY 11733. The listed phone number is (631) 689-8662.
What is Suffolk Nurse Practitioner In Family Health PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Suffolk Nurse Practitioner In Family Health PC enrolled in Medicare?
Yes. Suffolk Nurse Practitioner In Family Health PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Suffolk Nurse Practitioner In Family Health PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Suffolk Nurse Practitioner In Family Health PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Suffolk Nurse Practitioner In Family Health PC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Suffolk Nurse Practitioner In Family Health Pc · NPI 1255280467
Family organization in East Setauket, New York. Organization record, active in the CMS NPPES registry since January 22, 2026.
## Identity
- **NPI:** 1255280467 (Entity type: Organization)
- **Enumerated:** January 22, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Doreen Smith, OWNER
## Practice location
- **Address:** 140 N BELLE MEAD AVE STE G, East Setauket, NY 11733-6400
- **Phone:** (631) 689-8662 · **Fax:** (631) 706-2221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255280467) · Data from the CMS NPPES public registry.