MRS. EDNA MARISELA BIANCANIELLO AGACNP
NPI 1710658075
Nurse Practitioner - Acute Care in Bay Shore, NY

Q: What is Edna Biancaniello's NPI number?

The NPI number for Edna Biancaniello is 1710658075. It was assigned to this individual provider in the NPPES registry on September 25, 2021.

Q: What is Edna Biancaniello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Edna Biancaniello was last updated on September 25, 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.

Active since September 25, 2021PECOS Enrolled

39 BRENTWOOD RD, BAY SHORE, NY 11706(631) 591-7400 Get Directions Write a Review

NPPES record last updated: September 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Edna Marisela Biancaniello Agacnp NPPES

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

MRS. EDNA MARISELA BIANCANIELLO AGACNP (NPI 1710658075) is an individual acute care provider in Bay Shore, New York, licensed in New York (F432087) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710658075

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. EDNA MARISELA BIANCANIELLOCredential: AGACNP

Location Address39 BRENTWOOD RDBay Shore, NY 11706-8031

Mailing AddressPo Box 5329Bay Shore, NY 11706-0233 · (631) 805-4680

Phone(631) 591-7400

Sole ProprietorNo

Enumeration DateSeptember 25, 2021

NPPES CertifiedSeptember 24, 2021

✔ NPI 1710658075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · F432087

39 BRENTWOOD RD, Bay Shore, NY 11706

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Edna Marisela Biancaniello Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.

TAPAN BUCH

Internal Medicine (Cardiovascular Disease)