MS. JEANNETTE SANTULLI NURSE PRACTITIONER
NPI 1497946784
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent in Dix Hills, NY
About Ms. Jeannette Santulli Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JEANNETTE SANTULLI NURSE PRACTITIONER (NPI 1497946784) is an individual psychiatric/mental health, child & adolescent provider in Dix Hills, New York, licensed in New York (F4011561) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jeannette Santulli Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeannette Santulli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1467249334 (New York)
- 232 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 11746 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.
DIX HILLS, NY 11746
DIX HILLS, NY 11746
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 Jeannette Santulli's NPI number?
The NPI number for Jeannette Santulli is 1497946784. It was assigned to this individual provider in the NPPES registry on August 5, 2007.
Where is Jeannette Santulli located?
Jeannette Santulli practices at 197 Half Hollow Rd, Dix Hills, NY 11746. The listed phone number is (631) 286-6935.
What is Jeannette Santulli's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 364SP0807X.
Is Jeannette Santulli enrolled in Medicare?
Yes. Jeannette Santulli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeannette Santulli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeannette Santulli reassigns Medicare benefits to John T. Mather Memorial Hospital (Port Jefferson, 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 Jeannette Santulli'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 Jeannette Santulli was last updated on January 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Ms. Jeannette Santulli, NURSE PRACTITIONER · NPI 1497946784
Psychiatric/Mental Health, Child & Adolescent physician in Dix Hills, New York. Individual provider, active in the CMS NPPES registry since August 5, 2007.
## Identity
- **NPI:** 1497946784 (Entity type: Individual)
- **Enumerated:** August 5, 2007
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent · taxonomy 364SP0807X
- **State license:** F4011561 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 197 HALF HOLLOW RD, Dix Hills, NY 11746-5861
- **Phone:** (631) 286-6935
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** John T. Mather Memorial Hospital (NPI 1285920231, Port Jefferson, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2009
- **Other identifiers:** Medicaid 02077636 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1497946784) · Data from the CMS NPPES public registry.