DOMENICA RAPPA RN, FNP
NPI 1255677480
Nurse Practitioner - Family in Port Jefferson, NY
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.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Domenica Rappa Rn, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Domenica Rappa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1467249334 (New York)
- 232 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.
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.
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.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 enrollment system.
Which organizations bill Medicare for Domenica Rappa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Domenica Rappa reassigns Medicare benefits to 2 organizations: John T. Mather Memorial Hospital (Port Jefferson, 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 Domenica Rappa'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 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.
# Domenica Rappa, RN, FNP · NPI 1255677480
Family physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since December 16, 2012.
## Identity
- **NPI:** 1255677480 (Entity type: Individual)
- **Enumerated:** December 16, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 344016 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** MATHER HOSPITAL, 75 N COUNTRY ROAD, Port Jefferson, NY 11777
- **Phone:** (631) 473-1320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): John T. Mather Memorial Hospital (NPI 1104913748, Port Jefferson, NY); Samaritan Medical Services, P.C. (NPI 1124184544, West Islip, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255677480) · Data from the CMS NPPES public registry.