ASHLEY LYNNE FASSOIS NP
NPI 1306669312
Nurse Practitioner - Adult Health in Stony Brook, NY

Q: What is Ashley Fassois's NPI number?

The NPI number for Ashley Fassois is 1306669312. It was assigned to this individual provider in the NPPES registry on November 7, 2024. The provider is also known as Ashley Lynne Bonanno.

Q: What is Ashley Fassois's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashley Fassois was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since November 07, 2024PECOS Enrolled

1320 STONY BROOK RD STE 100, STONY BROOK, NY 11790(631) 941-2273 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ashley Lynne Fassois Np NPPES

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

ASHLEY LYNNE FASSOIS NP (NPI 1306669312) is an individual adult health provider in Stony Brook, New York, licensed in New York (F311865-01) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306669312

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameASHLEY LYNNE FASSOISCredential: NP

Location Address1320 STONY BROOK RD STE 100Stony Brook, NY 11790-2222

Mailing Address236 Holbrook AveLake Ronkonkoma, NY 11779-1841 · (631) 312-2944

Phone(631) 941-2273

Sole ProprietorNo

Enumeration DateNovember 7, 2024

NPPES CertifiedNovember 7, 2024

✔ NPI 1306669312 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 · F311865-01

1320 STONY BROOK RD STE 100, Stony Brook, NY 11790

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Other Names 1

Former Name (1)Ashley Lynne Bonanno

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Lynne Fassois Np 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.

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.

Other Providers at the Same Location NPPES 9

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

DONNA LEE BOEHM ANP

Nurse Practitioner (Adult Health)