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MRS. STEPHANIE SUE WANLASS AGNP-C
NPI 1720716988
Nurse Practitioner - Adult Health in Rocky Point, NY

Active since August 15, 2022PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
745 ROUTE 25A STE A, ROCKY POINT, NY 11778(631) 821-0200(631) 821-5721 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2022, Aug 15, 2022 (2 updates tracked since 2022).

About Mrs. Stephanie Sue Wanlass Agnp-c NPPES

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

MRS. STEPHANIE SUE WANLASS AGNP-C (NPI 1720716988) is an individual adult health provider in Rocky Point, New York, licensed in New York (310780) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and maintains a secondary practice location in Port Jefferson.

NPPES Registry Identity

NPI1720716988
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. STEPHANIE SUE WANLASSCredential: AGNP-C
Location Address745 ROUTE 25A STE ARocky Point, NY 11778-6603
Mailing Address745 Route 25a Ste ARocky Point, NY 11778-6603 · (631) 821-0200 · Fax (631) 821-5721
Phone(631) 821-0200
Fax(631) 821-5721
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 15, 2022
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1720716988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 310780
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 589857 (NY)
745 ROUTE 25A STE A, Rocky Point, NY 11778
Open in Google Maps ↗

Secondary Practice Location 1

Location 175 N Country RdPort Jefferson, NY 11777-2119 · Phone (631) 473-1320

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. Stephanie Sue Wanlass 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.

PECOS PAC ID3779950068
PECOS Enrollment IDI20221028001799
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 Reassignment

Medicare enrollment records show Stephanie Wanlass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harbor View Medical Services PC
6.6 mi
Gastroenterology
1500 ROUTE 112 BLDG 6
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1306631742 (New York)
  • 68 clinicians in this Medicare group
NPI 1871150193 (631) 686-7890

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.
270 services147 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.
105 services76 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
42 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services25 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients

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 11778 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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. HANNAH MARIE ROOT MD
Family Medicine
745 ROUTE 25A STE A
ROCKY POINT, NY 11778
Suffolk County (631) 821-0200

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 Stephanie Wanlass's NPI number?

The NPI number for Stephanie Wanlass is 1720716988. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Stephanie Wanlass located?

Stephanie Wanlass practices at 745 Route 25A Ste A, Rocky Point, NY 11778. The listed phone number is (631) 821-0200.

What is Stephanie Wanlass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stephanie Wanlass enrolled in Medicare?

Yes. Stephanie Wanlass 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 organization bills Medicare for Stephanie Wanlass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Wanlass reassigns Medicare benefits to Harbor View Medical Services PC (Port Jefferson Station, NY). The 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 Stephanie Wanlass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stephanie Wanlass affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Stephanie Wanlass was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.