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JESSICA SANTAMARIA
NPI 1669136339
Nurse Practitioner - Adult Health in Stony Brook, NY

Active since October 28, 2021PECOS Enrolled
98.52/100
CMS Quality Rating
100 NICOLLS RD # T16-080, STONY BROOK, NY 11794(631) 444-1066(631) 444-1054 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jessica Santamaria NPPES

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

JESSICA SANTAMARIA (NPI 1669136339) is an individual adult health provider in Stony Brook, New York, licensed in New York (310414) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Port Jefferson.

NPPES Registry Identity

NPI1669136339
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJESSICA SANTAMARIA
Location Address100 NICOLLS RD # T16-080Stony Brook, NY 11794-2130
Mailing Address125 Oakland Ave Ste 301Port Jefferson, NY 11777-2130 · (631) 686-2565
Phone(631) 444-1066
Fax(631) 444-1054
Sole ProprietorNo
Enumeration DateOctober 28, 2021
Last NPPES UpdateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1669136339 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 · 310414
100 NICOLLS RD # T16-080, Stony Brook, NY 11794
Open in Google Maps ↗

Secondary Practice Location 1

Location 1125 Oakland Ave Ste 301Port Jefferson, NY 11777-2130 · Phone (631) 686-2565

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Santamaria is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHMAD ALKHALIL M.D.
Internal Medicine (Cardiovascular Disease)
100 NICOLLS RD # T16-080
STONY BROOK, NY 11794
Suffolk County (631) 444-1066

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 Jessica Santamaria's NPI number?

The NPI number for Jessica Santamaria is 1669136339. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Jessica Santamaria located?

Jessica Santamaria practices at 100 Nicolls Rd # T16-080, Stony Brook, NY 11794. The listed phone number is (631) 444-1066.

What is Jessica Santamaria's specialty?

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

Is Jessica Santamaria enrolled in Medicare?

Yes. Jessica Santamaria is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Santamaria was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.