L.C. NURSE PRACTITIONER IN ADULT HEALTH SERVICES PLLC
NPI 1659500270
Nurse Practitioner - Adult Health in Wading River, NY

Active since July 02, 2009
90 HIDDEN POND PATH, WADING RIVER, NY 11792(631) 830-1364 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About L.c. Nurse Practitioner In Adult Health Services Pllc NPPES

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

L.C. NURSE PRACTITIONER IN ADULT HEALTH SERVICES PLLC (NPI 1659500270) is a healthcare organization registered as an adult health in Wading River, New York and active in the NPI registry since July 2009. The organization lists Lorraine Callas, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1659500270
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameL.C. NURSE PRACTITIONER IN ADULT HEALTH SERVICES PLLC
Location Address90 HIDDEN POND PATHWading River, NY 11792-2175
Mailing Address880 Wunneweta RdCutchogue, NY 11935-2818 · (631) 830-1364
Organization SubpartNo
Authorized OfficialLorraine CallasNurse Practitioner · (631) 830-1364
Enumeration DateJuly 2, 2009
Last NPPES UpdateApril 27, 2018
✔ NPI 1659500270 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 · F303856
90 HIDDEN POND PATH, Wading River, NY 11792

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

L.c. Nurse Practitioner In Adult Health Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to L.C. Nurse Practitioner In Adult Health Services PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1992841407
90 HIDDEN POND PATH
Wading River, NY 11792
(631) 397-0012
✔ PECOS✔ Accepts MedicareSame address

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

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 L.C. Nurse Practitioner In Adult Health Services PLLC's NPI number?

The NPI number for L.C. Nurse Practitioner In Adult Health Services PLLC is 1659500270. It was assigned to this organization in the NPPES registry on July 2, 2009.

Where is L.C. Nurse Practitioner In Adult Health Services PLLC located?

L.C. Nurse Practitioner In Adult Health Services PLLC is located at 90 Hidden Pond Path, Wading River, NY 11792. The listed phone number is (631) 830-1364.

What is L.C. Nurse Practitioner In Adult Health Services PLLC's specialty?

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

Is L.C. Nurse Practitioner In Adult Health Services PLLC enrolled in Medicare?

Yes. L.C. Nurse Practitioner In Adult Health Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through L.C. Nurse Practitioner In Adult Health Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to L.C. Nurse Practitioner In Adult Health Services PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for L.C. Nurse Practitioner In Adult Health Services PLLC was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.