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LORA LUMUBOS MAMUYAC AGPCNP
NPI 1275053142
Nurse Practitioner - Adult Health in Holtsville, NY

Active since June 22, 2017PECOS Enrolled
18 1ST AVE, HOLTSVILLE, NY 11742(631) 902-8439 Get Directions Write a Review

NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lora Lumubos Mamuyac Agpcnp NPPES

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

LORA LUMUBOS MAMUYAC AGPCNP (NPI 1275053142) is an individual adult health provider in Holtsville, New York, licensed in New York (F307956-1) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275053142
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLORA LUMUBOS MAMUYACCredential: AGPCNP
Location Address18 1ST AVEHoltsville, NY 11742-4208
Mailing Address18 1st AveHoltsville, NY 11742-4208 · (631) 902-8439
Phone(631) 902-8439
Sole ProprietorYes
Enumeration DateJune 22, 2017
✔ NPI 1275053142 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 · F307956-1
18 1ST AVE, Holtsville, NY 11742
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lora Lumubos Mamuyac Agpcnp 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 Reassignments

2

Medicare enrollment records show Lora Mamuyac reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brookhaven Memorial Hospital Medical Center, Inc.
2.1 mi
General Acute Care Hospital
33 MEDFORD AVENUE, SUITE D
Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 89 clinicians in this Medicare group
NPI 1508003716 (631) 687-4190
John T. Mather Memorial Hospital
9.3 mi
Psychiatry
5505 NESCONSET HWY
Mount Sinai, NY 11766
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
NPI 1568774453 (631) 686-7689

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 11742 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 Lora Mamuyac's NPI number?

The NPI number for Lora Mamuyac is 1275053142. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Lora Mamuyac located?

Lora Mamuyac practices at 18 1st Ave, Holtsville, NY 11742. The listed phone number is (631) 902-8439.

What is Lora Mamuyac's specialty?

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

Is Lora Mamuyac enrolled in Medicare?

Yes. Lora Mamuyac is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lora Mamuyac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lora Mamuyac reassigns Medicare benefits to 2 organizations: Brookhaven Memorial Hospital Medical Center, Inc. (Patchogue, NY) and John T. Mather Memorial Hospital (Mount Sinai, 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 Lora Mamuyac'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 Lora Mamuyac was last updated on June 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.