MRS. TAMI COLEEN FETZER PNP
NPI 1740441328
Nurse Practitioner - Pediatrics in Huntington, NY

Q: What is Tami Fetzer's NPI number?

The NPI number for Tami Fetzer is 1740441328. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Q: What is Tami Fetzer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tami Fetzer was last updated on June 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment

270 PARK AVE, HUNTINGTON, NY 11743(631) 351-2337 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mrs. Tami Coleen Fetzer Pnp NPPES

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

MRS. TAMI COLEEN FETZER PNP (NPI 1740441328) is an individual pediatrics provider in Huntington, New York, licensed in New York (F381273-1) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1740441328

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. TAMI COLEEN FETZERCredential: PNP

Location Address270 PARK AVEHuntington, NY 11743-2787

Mailing Address120 Ledgewood DrSmithtown, NY 11787-4221 · (631) 864-9180

Phone(631) 351-2337

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateJune 17, 2008

✔ NPI 1740441328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · F381273-1

270 PARK AVE, Huntington, NY 11743

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 and accepts Medicare assignment

Mrs. Tami Coleen Fetzer Pnp 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 ID8022170745

PECOS Enrollment IDI20081215000280

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 11743 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.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

MS. CARA ANGELA CHARTIER PA

Physician Assistant (Surgical)