THERESA JEANNE NICOSIA RN MS FNP
NPI 1710077821
Nurse Practitioner - Family in Lake Grove, NY
About Theresa Jeanne Nicosia Rn Ms Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA JEANNE NICOSIA RN MS FNP (NPI 1710077821) is an individual family provider in Lake Grove, New York, licensed in New York (F334231-1) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2003).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Theresa Jeanne Nicosia Rn Ms 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.
Areas of Expertise CMS Part B claims 2
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.
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, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Theresa Nicosia's NPI number?
The NPI number for Theresa Nicosia is 1710077821. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is Theresa Nicosia located?
Theresa Nicosia practices at 6 Park View Ln, Lake Grove, NY 11755. The listed phone number is (631) 467-8229.
What is Theresa Nicosia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Nicosia enrolled in Medicare?
Yes. Theresa Nicosia 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 Theresa Nicosia affiliated with any hospitals?
According to CMS data, Theresa Nicosia is affiliated with John T Mather Memorial Hospital Of Port Jefferson.
When was this NPI record last updated?
The NPPES record for Theresa Nicosia was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Theresa Jeanne Nicosia, RN MS FNP · NPI 1710077821
Family physician in Lake Grove, New York. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1710077821 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F334231-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 PARK VIEW LN, Lake Grove, NY 11755-1854
- **Phone:** (631) 467-8229
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2003
## Record status
- **NPPES last updated:** May 10, 2016
- **Other identifiers:** Medicaid 02703515 (NY); Medicare UPIN Q32838 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1710077821) · Data from the CMS NPPES public registry.