MRS. AMY L EISENBERG FNP
NPI 1639469042
Nurse Practitioner - Family in Hauppauge, NY
About Mrs. Amy L Eisenberg Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMY L EISENBERG FNP (NPI 1639469042) is an individual family provider in Hauppauge, New York, licensed in New York (F336613-01) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Amy L Eisenberg 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.
Medicare Billing Reassignments
2Medicare enrollment records show Amy Eisenberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hauppauge, NY 11788
- Reassigned Medicare billing, New York enrollment
- 19 clinicians in this Medicare group
Nyack, NY 10960
- Reassigned Medicare billing, New York enrollment
- 130 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 11788 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAUPPAUGE, NY 11788
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 Amy Eisenberg's NPI number?
The NPI number for Amy Eisenberg is 1639469042. It was assigned to this individual provider in the NPPES registry on April 19, 2011.
Where is Amy Eisenberg located?
Amy Eisenberg practices at 80 Arkay Dr Ste 230, Hauppauge, NY 11788. The listed phone number is (833) 342-1454.
What is Amy Eisenberg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Eisenberg enrolled in Medicare?
Yes. Amy Eisenberg 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 Amy Eisenberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Eisenberg reassigns Medicare benefits to 2 organizations: Dennis Mihale MD Of Ny PC (Hauppauge, NY) and White Plains Medical Diagnostic Services, PC (Nyack, 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 Amy Eisenberg'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 Amy Eisenberg was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Amy L Eisenberg, FNP · NPI 1639469042
Family physician in Hauppauge, New York. Individual provider, active in the CMS NPPES registry since April 19, 2011.
## Identity
- **NPI:** 1639469042 (Entity type: Individual)
- **Enumerated:** April 19, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F336613-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 ARKAY DR STE 230, Hauppauge, NY 11788-3705
- **Phone:** (833) 342-1454
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dennis Mihale MD Of Ny PC (NPI 1871172957, Hauppauge, NY); White Plains Medical Diagnostic Services, PC (NPI 1689955338, Nyack, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639469042) · Data from the CMS NPPES public registry.