MS. CHRISTINE ANN FANELLI NP
NPI 1689632622
Nurse Practitioner - Family in Bay Shore, NY

Q: What is Christine Fanelli's NPI number?

The NPI number for Christine Fanelli is 1689632622. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Christine Fanelli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Christine Fanelli was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment

15 PARK AVE, BAY SHORE, NY 11706(631) 581-4400(631) 581-2564 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Ms. Christine Ann Fanelli Np NPPES

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

MS. CHRISTINE ANN FANELLI NP (NPI 1689632622) is an individual family provider in Bay Shore, New York, licensed in New York (F333278) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689632622

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. CHRISTINE ANN FANELLICredential: NP

Location Address15 PARK AVEBay Shore, NY 11706-7381

Mailing Address15 Park AveBay Shore, NY 11706-7381 · (631) 581-4400 · Fax (631) 581-2564

Phone(631) 581-4400

Fax(631) 581-2564

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 1, 2006

Last NPPES UpdateJune 18, 2014

✔ NPI 1689632622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F333278

15 PARK AVE, Bay Shore, NY 11706

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINQ50151

Medicare PIN1202G1NY

Medicaid02167655NY

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

Ms. Christine Ann Fanelli Np 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 ID5799715223

PECOS Enrollment IDI20050815000995

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

Medicare enrollment records show Christine Fanelli reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Good Samaritan Hospital Medical Center

Same address

Medical Specialty

15 PARK AVE
Bay Shore, NY 11706

Reassigned Medicare billing, New York enrollment
395 clinicians in this Medicare group

NPI 1275820961 (631) 617-5250

Island Surgical & Vascular Group, P.C.

Same address

Surgery

15 PARK AVE
Bay Shore, NY 11706

Reassigned Medicare billing, New York enrollment
5 clinicians in this Medicare group

NPI 1639116759 (631) 581-4400

Chs Physician Partners, P.C

7.8 mi

Family Medicine

213 MONTAUK HWY
West Sayville, NY 11796

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Chs Physician Partners PC
944 clinicians in this Medicare group

NPI 1679823512 (631) 563-6205

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

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

729 services108 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

621 services78 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

379 services78 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

170 services27 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

97 services42 patients

Application of chemical to stop tissue regrowth in wound 17250

This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.

59 services15 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

1 supplier20 claims1,280 services$0.10 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers38 claims920 services$6.85 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

3 suppliers22 claims391 services$9.17 avg. paid by Medicare

Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216

DME-Medical/Surgical Supplies · category DA023N

2 suppliers22 claims1,520 services$0.04 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims477 services$3.01 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

2 suppliers27 claims2,550 services$0.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

DR. BRADLEY DAVID COHEN M.D.

Surgery