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STEPHAN NICKOLAS DETURRIS
NPI 1538059464
Nurse Anesthetist, Certified Registered in Stony Brook, NY

Active since July 03, 2025Accepts Medicare Assignment
101 NICOLLS RD, STONY BROOK, NY 11794(631) 638-3700 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2025, Jul 6, 2025 (2 updates tracked since 2025).

About Stephan Nickolas Deturris NPPES

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

STEPHAN NICKOLAS DETURRIS (NPI 1538059464) is an individual nurse anesthetist, certified registered in Stony Brook, New York, licensed in New York (734070-01) and active in the NPI registry since July 2025. He is affiliated with Nyu Langone Hospitals and is a graduate of Other (2025).

NPPES Registry Identity

NPI1538059464
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSTEPHAN NICKOLAS DETURRIS
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing AddressPo Box 26Commack, NY 11725-0026 · (631) 745-9998
Phone(631) 638-3700
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 3, 2025
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1538059464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NY · 734070-01
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
101 NICOLLS RD, Stony Brook, NY 11794
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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 and accepts Medicare assignment

Stephan Nickolas Deturris 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 ID2466943105
PECOS Enrollment IDI20251111002004

Medicare Billing Reassignments

2

Medicare enrollment records show Stephan Deturris reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stony Brook Anaesthesiology, University Faculty Practice Corporation
0.5 mi
Anesthesiology
SUNY @ STONY BROOK, HSC, L4, RM 060
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 103 clinicians in this Medicare group
NPI 1801841184 (631) 444-2976
New York University
41 mi
Specialist
9785 QUEENS BLVD
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • 1,074 clinicians in this Medicare group
NPI 1669422879 (718) 261-9100

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

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

NARINDER SINGH M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 Stephan Deturris's NPI number?

The NPI number for Stephan Deturris is 1538059464. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Stephan Deturris located?

Stephan Deturris practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 638-3700.

What is Stephan Deturris's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Stephan Deturris enrolled in Medicare?

Yes. Stephan Deturris 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.

Which organizations bill Medicare for Stephan Deturris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephan Deturris reassigns Medicare benefits to 2 organizations: Stony Brook Anaesthesiology, University Faculty Practice Corporation (Stony Brook, NY) and New York University (Rego Park, 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 Stephan Deturris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stephan Deturris affiliated with any hospitals?

According to CMS data, Stephan Deturris is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Stephan Deturris was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.