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DOMENICA RAPPA RN, FNP
NPI 1255677480
Nurse Practitioner - Family in Port Jefferson, NY

Active since December 16, 2012PECOS EnrolledAccepts Medicare Assignment
MATHER HOSPITAL, 75 N COUNTRY ROAD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2023, Jul 9, 2019 (2 updates tracked since 2019).

About Domenica Rappa Rn, Fnp NPPES

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

DOMENICA RAPPA RN, FNP (NPI 1255677480) is an individual family provider in Port Jefferson, New York, licensed in New York (344016) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255677480
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMENICA RAPPACredential: RN, FNP
Location AddressMATHER HOSPITAL, 75 N COUNTRY ROADPort Jefferson, NY 11777
Mailing Address75 N Country RdPort Jefferson, NY 11777-2119
Phone(631) 473-1320
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 16, 2012
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1255677480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 344016
Also ListedRegistered NurseTaxonomy 163W00000X · License 645874 (NY)
MATHER HOSPITAL, Port Jefferson, NY 11777
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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

Domenica Rappa Rn, Fnp 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 ID4688008006
PECOS Enrollment IDI20191218000648
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.

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SAAD SHAKIL M.D.
Student in an Organized Health Care Education/Training Program
MATHER HOSPITAL, 75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
MS. AYUSHI CHAUHAN MBBS
Student in an Organized Health Care Education/Training Program
MATHER HOSPITAL, 75 NORTH COUNTY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549

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 Domenica Rappa's NPI number?

The NPI number for Domenica Rappa is 1255677480. It was assigned to this individual provider in the NPPES registry on December 16, 2012.

Where is Domenica Rappa located?

Domenica Rappa practices at Mather Hospital 75 N Country Road, Port Jefferson, NY 11777. The listed phone number is (631) 473-1320.

What is Domenica Rappa's specialty?

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

Is Domenica Rappa enrolled in Medicare?

Yes. Domenica Rappa 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 Domenica Rappa affiliated with any hospitals?

According to CMS data, Domenica Rappa is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Domenica Rappa was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.