MRS. STEPHANIE NUCCI II PA
NPI 1629259668
Physician Assistant - Surgical in Port Jefferson, NY

Active since November 19, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
635 BELLE TERRE RD, SUITE #204, PORT JEFFERSON, NY 11777(631) 474-0008(631) 474-0224 Get Directions Write a Review

NPPES record last updated: February 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Stephanie Nucci Ii Pa NPPES

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

MRS. STEPHANIE NUCCI II PA (NPI 1629259668) is an individual surgical provider in Port Jefferson, New York, licensed in New York (009608) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1629259668
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. STEPHANIE NUCCI IICredential: PA
Location Address635 BELLE TERRE RD, SUITE #204Port Jefferson, NY 11777-1935
Mailing Address635 Belle Terre Rd, Suite #204Port Jefferson, NY 11777-1935 · (631) 474-0008 · Fax (631) 474-0224
Fax(631) 474-0224
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 19, 2007
Last NPPES UpdateFebruary 1, 2010
NPI 1629259668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 009608
635 BELLE TERRE RD, Port Jefferson, NY 11777

Other Identifiers 2

Medicare UPINQ19473NY
Medicare PIN1629259668NY

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

Mrs. Stephanie Nucci Ii Pa 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 ID1052399227
PECOS Enrollment IDI20040713000908
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 2

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
32 services32 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

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.

Specialist
635 BELLE TERRE RD, STE 204
PORT JEFFERSON, NY 11777
Physical Therapist
635 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Dentist
635 BELLE TERRE RD, SUITE 103
PORT JEFFERSON, NY 11777
Specialist
635 BELLE TERRE RD, STE 202
PORT JEFFERSON, NY 11777
Dentist (General Practice)
635 BELLE TERRE RD, SUITE 103
PORT JEFFERSON, NY 11777
Physician Assistant
635 BELLE TERRE RD, SUITE #204
PORT JEFFERSON, NY 11777
Physician Assistant
635 BELLE TERRE RD, SUITE 204
PORT JEFFERSON, NY 11777
Occupational Therapist
635 BELLE TERRE RD, SUITE 105
PORT JEFFERSON, NY 11777

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 Stephanie Nucci's NPI number?

The NPI number for Stephanie Nucci is 1629259668. It was assigned to this individual provider in the NPPES registry on November 19, 2007.

Where is Stephanie Nucci located?

Stephanie Nucci practices at 635 Belle Terre Rd Suite #204, Port Jefferson, NY 11777. The listed phone number is (631) 474-0008.

What is Stephanie Nucci's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stephanie Nucci enrolled in Medicare?

Yes. Stephanie Nucci 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.

Is Stephanie Nucci affiliated with any hospitals?

According to CMS data, Stephanie Nucci is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Nucci was last updated on February 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.