LISA MARIE SAMMARCO FNP
NPI 1518578780
Nurse Practitioner - Family in Port Jefferson, NY

Q: What is Lisa Sammarco's NPI number?

The NPI number for Lisa Sammarco is 1518578780. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Q: What is Lisa Sammarco's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Sammarco was last updated on March 25, 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.

Active since August 12, 2020PECOS EnrolledAccepts Medicare Assignment

75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: March 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2023, Aug 12, 2020 (2 updates tracked since 2020).

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About Lisa Marie Sammarco Fnp NPPES

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

LISA MARIE SAMMARCO FNP (NPI 1518578780) is an individual family provider in Port Jefferson, New York, licensed in New York (346416) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518578780

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA MARIE SAMMARCOCredential: FNP

Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119

Mailing Address75 N Country RdPort Jefferson, NY 11777-2119 · (631) 473-1320

Phone(631) 473-1320

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 12, 2020

Last NPPES UpdateMarch 25, 20232 updates tracked since enumeration

NPPES CertifiedMarch 25, 2023

✔ NPI 1518578780 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 · 346416

75 N COUNTRY RD, Port Jefferson, NY 11777

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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

Lisa Marie Sammarco 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.

PECOS PAC ID2264830835

PECOS Enrollment IDI20211012002309

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.

Insertion of needle into vein (3 years or older) 36410

This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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 20

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

JUSTINA CATHERINE MELLONE DO

Student in an Organized Health Care Education/Training Program