MRS. JAMIE ROSE GILISTRO FNP
NPI 1699443408
Nurse Practitioner - Family in Patchogue, NY

Active since September 06, 2021PECOS EnrolledAccepts Medicare Assignment
46 PINE BLVD, PATCHOGUE, NY 11772(631) 553-2926 Get Directions Write a Review

NPPES record last updated: September 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jamie Rose Gilistro Fnp NPPES

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

MRS. JAMIE ROSE GILISTRO FNP (NPI 1699443408) is an individual family provider in Patchogue, New York, licensed in New York (F348203-01) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699443408
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JAMIE ROSE GILISTROCredential: FNP
Location Address46 PINE BLVDPatchogue, NY 11772-3643
Mailing Address46 Pine BlvdPatchogue, NY 11772-3643 · (631) 553-2926
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 6, 2021
NPPES CertifiedSeptember 6, 2021
NPI 1699443408 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 · F348203-01
46 PINE BLVD, Patchogue, NY 11772

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jamie Rose Gilistro 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.

PECOS PAC ID2466837802
PECOS Enrollment IDI20220921000213
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.

Hospital Affiliations CMS Care Compare

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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.

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 Jamie Gilistro's NPI number?

The NPI number for Jamie Gilistro is 1699443408. It was assigned to this individual provider in the NPPES registry on September 6, 2021.

Where is Jamie Gilistro located?

Jamie Gilistro practices at 46 Pine Blvd, Patchogue, NY 11772. The listed phone number is (631) 553-2926.

What is Jamie Gilistro's specialty?

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

Is Jamie Gilistro enrolled in Medicare?

Yes. Jamie Gilistro 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.

Is Jamie Gilistro affiliated with any hospitals?

According to CMS data, Jamie Gilistro is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Jamie Gilistro was last updated on September 6, 2021. 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.