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REGGIE DONALD VALDEMAR PHMNP
NPI 1285374660
Nurse Practitioner - Psychiatric/Mental Health in Ronkonkoma, NY

Active since March 31, 2022PECOS Enrolled
153 LAKE SHORE RD, RONKONKOMA, NY 11779(111) 111-1111 Get Directions Write a Review

NPPES record last updated: December 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Reggie Donald Valdemar Phmnp NPPES

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

REGGIE DONALD VALDEMAR PHMNP (NPI 1285374660) is an individual psychiatric/mental health provider in Ronkonkoma, New York, licensed in New York (404034) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Deer Park.

NPPES Registry Identity

NPI1285374660
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameREGGIE DONALD VALDEMARCredential: PHMNP
Location Address153 LAKE SHORE RDRonkonkoma, NY 11779-3157
Mailing Address7 Oak Park CtDeer Park, NY 11729-5607 · (631) 565-3480
Phone(111) 111-1111
Sole ProprietorYes
Enumeration DateMarch 31, 2022
Last NPPES UpdateDecember 26, 2022
NPPES CertifiedDecember 26, 2022
✔ NPI 1285374660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404034
153 LAKE SHORE RD, Ronkonkoma, NY 11779
Open in Google Maps ↗

Secondary Practice Location 1

Location 17 Oak Park CtDeer Park, NY 11729-5607 · Phone (631) 565-3480

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reggie Donald Valdemar Phmnp 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 Reggie Valdemar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Houses Of Long Island, Inc.
9.3 mi
Substance Abuse Rehabilitation Facility
998 CROOKED HILL RD, BUILDING #5
Brentwood, NY 11717
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
NPI 1174691281 (631) 306-5749
Valdemar Np In Psychiatry PLLC
12 mi
Clinic/Center
1241 DEER PARK AVE STE 1
North Babylon, NY 11703
  • Reassigned Medicare billing, New York enrollment
NPI 1225873870 (631) 241-2568

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 11779 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 8

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

MS. MICHELE ANN KELLY CPNP NPP
Nurse Practitioner
153 LAKE SHORE RD, PHOENIX HOUSE MEDICAL DEPT
RONKONKOMA, NY 11779
Suffolk County (631) 471-5666
ALTAGRACE GILBERT BLANCHARD
Licensed Practical Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (844) 815-1508
NICHOLAS MARTIN PASCULLO LPN
Licensed Practical Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 471-5666
MRS. MELISSA PAZ RN
Registered Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (718) 233-4376
LYDIE CHERY REGISTERED NURSE
Registered Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 925-7619
OLIVIA AUPPERLEE
Registered Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (844) 815-1508
EDJEANINE BOUCICAULT LPN
Licensed Practical Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 522-6876
JUSTIN MICHAEL TAYLOR I LICENSED MSW
Social Worker
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 471-5666

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 Reggie Valdemar's NPI number?

The NPI number for Reggie Valdemar is 1285374660. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Reggie Valdemar located?

Reggie Valdemar practices at 153 Lake Shore Rd, Ronkonkoma, NY 11779. The listed phone number is (111) 111-1111.

What is Reggie Valdemar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Reggie Valdemar enrolled in Medicare?

Yes. Reggie Valdemar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Reggie Valdemar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reggie Valdemar reassigns Medicare benefits to 2 organizations: Phoenix Houses Of Long Island, Inc. (Brentwood, NY) and Valdemar Np In Psychiatry PLLC (North Babylon, 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 Reggie Valdemar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reggie Valdemar accept?

Health plans from Oscar Health list Reggie Valdemar 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 Reggie Valdemar was last updated on December 26, 2022. 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.