Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELINE JEAN LOUIS
NPI 1689490021
Nurse Practitioner - Gerontology in Whitestone, NY

Active since December 02, 2024PECOS EnrolledAccepts Medicare Assignment
1802 PETRACCA PL STE 103, WHITESTONE, NY 11357(646) 722-7610 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Dec 2, 2024 (2 updates tracked since 2024).

About Angeline Jean Louis NPPES

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

ANGELINE JEAN LOUIS (NPI 1689490021) is an individual gerontology provider in Whitestone, New York, licensed in New York (F312130) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689490021
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameANGELINE JEAN LOUIS
Location Address1802 PETRACCA PL STE 103Whitestone, NY 11357-6000
Mailing AddressPo Box 40410Belfast, ME 04915-1255 · (646) 722-7610
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 2, 2024
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1689490021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NY · F312130
1802 PETRACCA PL STE 103, Whitestone, NY 11357

Secondary Practice Locations 2

Location 1865 Merrick Ave Ste 72NWestbury, NY 11590-6694 · Phone (516) 266-9585
Location 2261 Meredith LnWest Hempstead, NY 11552-1245 · Phone (607) 349-5104

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

Angeline Jean Louis 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 ID7517469935
PECOS Enrollment IDI20250905001097
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 Angeline Jean Louis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Internal Medicine
300 COMMUNITY DR
Manhasset, NY 11030
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: North Shore-Lij Medical Group PC
  • 63 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 11357 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Geriatric Medicine)
1802 PETRACCA PL STE 103
FLUSHING, NY 11357
Family Medicine
1802 PETRACCA PL STE 103
WHITESTONE, NY 11357
Nurse Practitioner (Adult Health)
1802 PETRACCA PL STE 103
WHITESTONE, NY 11357
Family Medicine (Hospice and Palliative Medicine)
1802 PETRACCA PL STE 103
WHITESTONE, NY 11357
Family Medicine
1802 PETRACCA PL STE 103
WHITESTONE, NY 11357

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 Angeline Jean Louis's NPI number?

The NPI number for Angeline Jean Louis is 1689490021. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Angeline Jean Louis located?

Angeline Jean Louis practices at 1802 Petracca Pl Ste 103, Whitestone, NY 11357. The listed phone number is (646) 722-7610.

What is Angeline Jean Louis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Angeline Jean Louis enrolled in Medicare?

Yes. Angeline Jean Louis 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 Angeline Jean Louis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angeline Jean Louis reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and North Shore-Lij Medical Group P.C. (Manhasset, 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 Angeline Jean Louis'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 Angeline Jean Louis was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.