JENNIFER PANTOLIANO
NPI 1295277572
Nurse Practitioner - Adult Health in Stony Brook, NY

Active since November 17, 2016PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
2500 ROUTE 347 BLDG 14A, STONY BROOK, NY 11790(631) 689-7800 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Pantoliano NPPES

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

JENNIFER PANTOLIANO (NPI 1295277572) is an individual adult health provider in Stony Brook, New York, licensed in New York (308041) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295277572
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJENNIFER PANTOLIANO
Location Address2500 ROUTE 347 BLDG 14AStony Brook, NY 11790-2554
Mailing Address2500 Route 347 Bldg 14aStony Brook, NY 11790-2554
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 17, 2016
NPI 1295277572 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 · 308041
2500 ROUTE 347 BLDG 14A, Stony Brook, NY 11790

Other Identifiers 1

Other308041NY · License

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

Jennifer Pantoliano 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 ID3173807583
PECOS Enrollment IDI20170303000309
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.

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11790 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES

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

Internal Medicine (Nephrology)
2500 ROUTE 347 BLDG 14A
STONY BROOK, NY 11790

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 Jennifer Pantoliano's NPI number?

The NPI number for Jennifer Pantoliano is 1295277572. It was assigned to this individual provider in the NPPES registry on November 17, 2016.

Where is Jennifer Pantoliano located?

Jennifer Pantoliano practices at 2500 Route 347 Bldg 14A, Stony Brook, NY 11790. The listed phone number is (631) 689-7800.

What is Jennifer Pantoliano's specialty?

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

Is Jennifer Pantoliano enrolled in Medicare?

Yes. Jennifer Pantoliano 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 Jennifer Pantoliano affiliated with any hospitals?

According to CMS data, Jennifer Pantoliano is affiliated with St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Pantoliano was last updated on November 17, 2016. 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.