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MARIA CLAUDIA CONTRERAS NP
NPI 1497271316
Nurse Practitioner - Adult Health in Garden City, NY

Active since August 22, 2017PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1305 FRANKLIN AVE STE 100, GARDEN CITY, NY 11530(516) 746-5550(516) 746-9641 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017 (2 updates tracked since 2017).

About Maria Claudia Contreras Np NPPES

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

MARIA CLAUDIA CONTRERAS NP (NPI 1497271316) is an individual adult health provider in Garden City, New York, licensed in New York (308357) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2017).

NPPES Registry Identity

NPI1497271316
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARIA CLAUDIA CONTRERASCredential: NP
Location Address1305 FRANKLIN AVE STE 100Garden City, NY 11530-1630
Mailing Address1305 Franklin Ave Ste 100Garden City, NY 11530-1630 · (516) 746-5550 · Fax (516) 746-9641
Phone(516) 746-5550
Fax(516) 746-9641
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2017
Enumeration DateAugust 22, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1497271316 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 · 308357
1305 FRANKLIN AVE STE 100, Garden City, NY 11530
Open in Google Maps ↗

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

Maria Claudia Contreras Np 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 ID5890053896
PECOS Enrollment IDI20171221000350
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.

Areas of Expertise CMS Part B claims

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 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.
84 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES

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

INTEGRATED MEDICAL PROFESSIONALS PLLC
Durable Medical Equipment & Medical Supplies
1305 FRANKLIN AVE STE 100
GARDEN CITY, NY 11530
Nassau County (516) 746-5550

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 Maria Contreras's NPI number?

The NPI number for Maria Contreras is 1497271316. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Maria Contreras located?

Maria Contreras practices at 1305 Franklin Ave Ste 100, Garden City, NY 11530. The listed phone number is (516) 746-5550.

What is Maria Contreras's specialty?

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

Is Maria Contreras enrolled in Medicare?

Yes. Maria Contreras 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.

When was this NPI record last updated?

The NPPES record for Maria Contreras was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.