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MRS. ANDREA SANCLEMENTE NP
NPI 1730604646
Nurse Practitioner - Women's Health in Riverhead, NY

Active since August 11, 2017PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
74 COMMERCE AVE STE 1, RIVERHEAD, NY 11901(631) 727-3422 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 14, 2020, Nov 2, 2017, Aug 11, 2017 (3 updates tracked since 2017).

About Mrs. Andrea Sanclemente Np NPPES

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

MRS. ANDREA SANCLEMENTE NP (NPI 1730604646) is an individual women's health provider in Riverhead, New York, licensed in New York (421298) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains a secondary practice location in Hampton Bays.

NPPES Registry Identity

NPI1730604646
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. ANDREA SANCLEMENTECredential: NP
Location Address74 COMMERCE AVE STE 1Riverhead, NY 11901-3105
Mailing Address45 Research Way Ste 105East Setauket, NY 11733-6401 · (631) 675-2125 · Fax (631) 675-2624
Phone(631) 727-3422
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 11, 2017
Last NPPES UpdateJanuary 14, 20203 updates tracked since enumeration
✔ NPI 1730604646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NY · 421298
74 COMMERCE AVE STE 1, Riverhead, NY 11901
Open in Google Maps ↗

Secondary Practice Location 1

Location 1183 W Montauk HwyHampton Bays, NY 11946-2305 · Phone (631) 723-2225

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. Andrea Sanclemente Np 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 ID1557627254
PECOS Enrollment IDI20171114000693
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 Andrea Sanclemente reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Associates In Obstetrics & Gynecology, University Faculty P
22 mi
Obstetrics & Gynecology
100 NICOLLS RD, SUNY @ STONY BROOK HSC, L9, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 125 clinicians in this Medicare group
NPI 1538114723 (631) 444-2731

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 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,740 services56 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.
132 services101 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
82 services58 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
52 services52 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
39 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

JENNIFER R HILL MD PLLC
Urology
74 COMMERCE AVE STE 1
RIVERHEAD, NY 11901
Suffolk County (631) 405-0898
DR. JENNIFER REBECCA HILL M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
74 COMMERCE AVE STE 1
RIVERHEAD, NY 11901
Suffolk County (631) 405-0898

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 Andrea Sanclemente's NPI number?

The NPI number for Andrea Sanclemente is 1730604646. It was assigned to this individual provider in the NPPES registry on August 11, 2017.

Where is Andrea Sanclemente located?

Andrea Sanclemente practices at 74 Commerce Ave Ste 1, Riverhead, NY 11901. The listed phone number is (631) 727-3422.

What is Andrea Sanclemente's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Andrea Sanclemente enrolled in Medicare?

Yes. Andrea Sanclemente 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 Andrea Sanclemente's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Sanclemente reassigns Medicare benefits to University Associates In Obstetrics & Gynecology, University Faculty P (Stony Brook, 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 Andrea Sanclemente's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrea Sanclemente affiliated with any hospitals?

According to CMS data, Andrea Sanclemente is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Sanclemente was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.