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NANCY ANN ENTERLIN NP
NPI 1447567532
Nurse Practitioner in Stony Brook, NY

Active since September 10, 2010PECOS Enrolled
100 NICOLLS RD, STONY BROOK UNIVERSITY MEDICAL CENTER, L11 N, STONY BROOK, NY 11790(631) 444-2730 Get Directions Write a Review

NPPES record last updated: May 9, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nancy Ann Enterlin Np NPPES

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

NANCY ANN ENTERLIN NP (NPI 1447567532) is an individual nurse practitioner in Stony Brook, New York, licensed in New York (F350316) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447567532
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNANCY ANN ENTERLINCredential: NP
Location Address100 NICOLLS RD, STONY BROOK UNIVERSITY MEDICAL CENTER, L11 NStony Brook, NY 11790-3407
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650
Phone(631) 444-2730
Sole ProprietorNo
Enumeration DateSeptember 10, 2010
Last NPPES UpdateMay 9, 2015
✔ NPI 1447567532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F350316
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 NICOLLS RD, Stony Brook, NY 11790
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy Ann Enterlin 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.

Medicare Billing Reassignment

Medicare enrollment records show Nancy Enterlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
0.4 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

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 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 15

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

SARA ATIQ KHAN M.D.
Internal Medicine
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-1665
DR. RICHARD FINE M.D.
Pediatrics (Pediatric Nephrology)
100 NICOLLS RD, HSC T-11, RM 060
STONY BROOK, NY 11790
Suffolk County (631) 444-7884
ARYEL MOMPLAISIR NP
Nurse Practitioner (Adult Health)
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 632-6000
XIN FU LIN D.O.
Family Medicine
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-8478
DR. DANIEL DAVID CARRIS DO
Student in an Organized Health Care Education/Training Program
100 NICOLLS RD, HEALTH SCIENCE CENTER T16, ROOM 020
STONY BROOK, NY 11790
Suffolk County (631) 444-7411
CHRISTOPHER EDELSTEIN RPA
Physician Assistant
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-1000
JACKLYN CHO
Student in an Organized Health Care Education/Training Program
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-1791
DR. IVAN LUKACHYNETS DDS
Dentist
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 632-8900

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 Nancy Enterlin's NPI number?

The NPI number for Nancy Enterlin is 1447567532. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Where is Nancy Enterlin located?

Nancy Enterlin practices at 100 Nicolls Rd Stony Brook University Medical Center, L11 N, Stony Brook, NY 11790. The listed phone number is (631) 444-2730.

What is Nancy Enterlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nancy Enterlin enrolled in Medicare?

Yes. Nancy Enterlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nancy Enterlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Enterlin reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). The 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 Nancy Enterlin'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 Nancy Enterlin was last updated on May 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.