REINE MARY ARCHER FNP
NPI 1376107748
Nurse Practitioner - Family in Stony Brook, NY
About Reine Mary Archer Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REINE MARY ARCHER FNP (NPI 1376107748) is an individual family provider in Stony Brook, New York, licensed in New York (F342125-01) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Reine Mary Archer Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Reine Archer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 clinicians in this Medicare group
New York, NY 10019
- Reassigned Medicare billing, New York enrollment
- 114 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 11794 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
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 Reine Archer's NPI number?
The NPI number for Reine Archer is 1376107748. It was assigned to this individual provider in the NPPES registry on April 30, 2019.
Where is Reine Archer located?
Reine Archer practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.
What is Reine Archer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Reine Archer enrolled in Medicare?
Yes. Reine Archer 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.
Which organizations bill Medicare for Reine Archer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Reine Archer reassigns Medicare benefits to 2 organizations: Optum Medical Care, P.C. (Mount Kisco, NY) and Matrix Medical Of New York PC (New York, 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 Reine Archer'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 Reine Archer was last updated on September 27, 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.
# Reine Mary Archer, FNP · NPI 1376107748
Family physician in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since April 30, 2019.
## Identity
- **NPI:** 1376107748 (Entity type: Individual)
- **Enumerated:** April 30, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F342125-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 NICOLLS RD, Stony Brook, NY 11794-0001
- **Phone:** (631) 689-8333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY); Matrix Medical Of New York PC (NPI 1639433063, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1376107748) · Data from the CMS NPPES public registry.