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MS. PATRICIA R MACDONALD MSN, FNP
NPI 1427289586
Nurse Practitioner - Family in Miller Place, NY

Active since August 06, 2009PECOS Enrolled
464 ROUTE 25A, MILLER PLACE, NY 11764(631) 642-2200(631) 642-2195 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Patricia R Macdonald Msn, Fnp NPPES

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

MS. PATRICIA R MACDONALD MSN, FNP (NPI 1427289586) is an individual family provider in Miller Place, New York, licensed in New York (F-336045-1) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2009).

NPPES Registry Identity

NPI1427289586
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. PATRICIA R MACDONALDCredential: MSN, FNP
Location Address464 ROUTE 25AMiller Place, NY 11764-2514
Mailing Address464 Route 25aMiller Place, NY 11764-2514 · (631) 642-2200 · Fax (631) 642-2195
Phone(631) 642-2200
Fax(631) 642-2195
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2009
Enumeration DateAugust 6, 2009
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1427289586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F-336045-1
464 ROUTE 25A, Miller Place, NY 11764
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Patricia R Macdonald Msn, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244416204
PECOS Enrollment IDI20110510000157
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

3

Medicare enrollment records show Patricia Macdonald reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jjgnp In Adult Health, P.C.
2.5 mi
Adult Health
77 SHORE RD
Mount Sinai, NY 11766
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1487133294 (631) 642-2200
Fulton Medical, P.C.
29 mi
Internal Medicine
200 BOUNDARY AVE, STE. 200
Massapequa, NY 11758
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Fulton Medical PC
  • 37 clinicians in this Medicare group
NPI 1841635133 (631) 271-9151
North Shore-Lij Medical PC
39 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
709 services33 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
679 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
97 services30 patients
Injection of anesthetic agent and/or steroid into upper neck and back of head nerve 64405
This procedure involves injecting a mix of anesthetic and/or steroid into nerves in the upper neck and back of the head. It helps relieve pain by reducing inflammation and numbing the area. It's a common treatment for headaches and neck pain.
38 services12 patients
Measurement of brain wave activity (eeg) with electrodes on brain to provoke seizures or identify brain structures, first hour 95961
This procedure, known as an EEG, involves placing electrodes on the brain to measure its electrical activity. It helps identify brain structures and may provoke seizures for study. The initial hour is crucial for accurate data collection.
36 services21 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
35 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11764 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 4

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

CHRISTINE FRYE
Massage Therapist
464 ROUTE 25A
MILLER PLACE, NY 11764
Suffolk County (631) 680-9458
PATHWAYSRX LLC
Clinic/Center (Multi-Specialty)
464 ROUTE 25A
MILLER PLACE, NY 11764
Suffolk County (631) 901-7066
FINGERS FROM HEAVEN INC
Acupuncturist
464 ROUTE 25A
MILLER PLACE, NY 11764
Suffolk County (631) 680-9458
CORI KRESGE
Massage Therapist
464 ROUTE 25A
MILLER PLACE, NY 11764
Suffolk County (631) 680-9458

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 Patricia Macdonald's NPI number?

The NPI number for Patricia Macdonald is 1427289586. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Patricia Macdonald located?

Patricia Macdonald practices at 464 Route 25A, Miller Place, NY 11764. The listed phone number is (631) 642-2200.

What is Patricia Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Patricia Macdonald enrolled in Medicare?

Yes. Patricia Macdonald is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patricia Macdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Macdonald reassigns Medicare benefits to 3 organizations: Jjgnp In Adult Health, P.C. (Mount Sinai, NY), Fulton Medical, P.C. (Massapequa, NY) and North Shore-Lij Medical PC (Great Neck, 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 Patricia Macdonald'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 Patricia Macdonald was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.