DAWN-MARIE SCHMITZ N.P.
NPI 1558663328
Nurse Practitioner - Adult Health in Stony Brook, NY

Active since November 29, 2010PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-1776 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dawn-marie Schmitz N.p. NPPES

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

DAWN-MARIE SCHMITZ N.P. (NPI 1558663328) is an individual adult health provider in Stony Brook, New York, licensed in New York (F305528-1) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1558663328
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDAWN-MARIE SCHMITZCredential: N.P.
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address20 Delaware StHuntington, NY 11743-3641 · (631) 987-6895
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 29, 2010
✔ NPI 1558663328 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 · F305528-1
101 NICOLLS RD, Stony Brook, NY 11794

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

Dawn-marie Schmitz N.p. 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 ID2567639446
PECOS Enrollment IDI20120117000670
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 Reassignments

2

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

Skilled Nursing Facility
68 HAUPPAUGE RD
Commack, NY 11725
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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 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
$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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

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 Dawn-marie Schmitz's NPI number?

The NPI number for Dawn-marie Schmitz is 1558663328. It was assigned to this individual provider in the NPPES registry on November 29, 2010.

Where is Dawn-marie Schmitz located?

Dawn-marie Schmitz practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-1776.

What is Dawn-marie Schmitz's specialty?

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

Is Dawn-marie Schmitz enrolled in Medicare?

Yes. Dawn-marie Schmitz 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 Dawn-marie Schmitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn-marie Schmitz reassigns Medicare benefits to 2 organizations: The Rosalind And Joseph Gurwin Jewish Geriatric Center Of Long Island (Commack, NY) and North Shore-Lij Medical PC (Great Neck, 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 Dawn-marie Schmitz'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 Dawn-marie Schmitz was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.