MRS. TITSANIA ELIZABETH SUPERSAD COLEY AGNP-C
NPI 1700623907
Nurse Practitioner - Adult Health in Patchogue, NY
About Mrs. Titsania Elizabeth Supersad Coley Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TITSANIA ELIZABETH SUPERSAD COLEY AGNP-C (NPI 1700623907) is an individual adult health provider in Patchogue, New York, licensed in New York (311883) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Titsania Elizabeth Supersad Coley Agnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Titsania Supersad Coley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shirley, NY 11967
- Reassigned Medicare billing, New York enrollment
- 9 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 43 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 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PATCHOGUE, NY 11772
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 Titsania Supersad Coley's NPI number?
The NPI number for Titsania Supersad Coley is 1700623907. It was assigned to this individual provider in the NPPES registry on July 15, 2024.
Where is Titsania Supersad Coley located?
Titsania Supersad Coley practices at 25 Schoenfeld Blvd, Patchogue, NY 11772. The listed phone number is (631) 807-0085.
What is Titsania Supersad Coley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Titsania Supersad Coley enrolled in Medicare?
Yes. Titsania Supersad Coley 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 Titsania Supersad Coley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Titsania Supersad Coley reassigns Medicare benefits to 2 organizations: Nk Medical PC (Shirley, NY) and Nsuh Plainview Physicians Ufp Corporation (New York, 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 Titsania Supersad Coley'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 Titsania Supersad Coley was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Mrs. Titsania Elizabeth Supersad Coley, AGNP-C · NPI 1700623907
Adult Health physician in Patchogue, New York. Individual provider, active in the CMS NPPES registry since July 15, 2024.
## Identity
- **NPI:** 1700623907 (Entity type: Individual)
- **Enumerated:** July 15, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 311883 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 SCHOENFELD BLVD, Patchogue, NY 11772-2982
- **Phone:** (631) 807-0085
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Nk Medical PC (NPI 1467873018, Shirley, NY); Nsuh Plainview Physicians Ufp Corporation (NPI 1508750332, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** February 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700623907) · Data from the CMS NPPES public registry.