SANDRA BOUCICAUT NP
NPI 1760112213
Nurse Practitioner - Adult Health in East Patchogue, NY

Q: What is Sandra Boucicaut's NPI number?

The NPI number for Sandra Boucicaut is 1760112213. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Q: What is Sandra Boucicaut's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Boucicaut was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 15, 2022PECOS EnrolledAccepts Medicare Assignment

285 SILLS RD BLDG 5-6, EAST PATCHOGUE, NY 11772(631) 228-5802(929) 455-9868 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sandra Boucicaut Np NPPES

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

SANDRA BOUCICAUT NP (NPI 1760112213) is an individual adult health provider in East Patchogue, New York, licensed in New York (310360) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1760112213

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSANDRA BOUCICAUTCredential: NP

Location Address285 SILLS RD BLDG 5-6East Patchogue, NY 11772-4869

Mailing Address14 Wall St Fl 9New York, NY 10005-2178

Phone(631) 228-5802

Fax(929) 455-9868

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 15, 2022

Last NPPES UpdateFebruary 15, 2024

NPPES CertifiedFebruary 15, 2024

✔ NPI 1760112213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 310360

285 SILLS RD BLDG 5-6, East Patchogue, NY 11772

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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

Sandra Boucicaut 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 ID4880067479

PECOS Enrollment IDI20230301002315

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.

Areas of Expertise CMS Part B claims 4

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

77 services77 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

60 services60 patients

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.

43 services35 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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 10

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

LONG ISLAND NEUROSCIENCE SPECIALISTS LLP

Neurological Surgery

285 SILLS RD BLDG 5-6
E PATCHOGUE, NY 11772

Suffolk County (631) 475-5111

ANGELA JULIENNE FERNANDEZ LAM PT

Physical Therapist

285 SILLS RD BLDG 5-6
EAST PATCHOGUE, NY 11772

Suffolk County (631) 475-2858

JULIE ALICIA STUART OTR

Occupational Therapist

285 SILLS RD BLDG 5-6
EAST PATCHOGUE, NY 11772

Suffolk County (631) 475-2858

DAVID BELLI OT

Occupational Therapist

285 SILLS RD BLDG 5-6
EAST PATCHOGUE, NY 11772

Suffolk County (631) 475-2858

MS. TERRIE JEAN BRENNAN NP

Nurse Practitioner (Adult Health)

285 SILLS RD BLDG 5-6, SUITE A
EAST PATCHOGUE, NY 11772

Suffolk County (631) 475-9300

STEVEN P. LEON M.D.

Neurological Surgery

285 SILLS RD BLDG 5-6
E PATCHOGUE, NY 11772

Suffolk County (631) 475-5111

JOSEPH KAEMPF PA-C

Physician Assistant (Medical)

285 SILLS RD BLDG 5-6
EAST PATCHOGUE, NY 11772

Suffolk County (631) 438-0777

MARY KATHERINE REINHART

Nurse Practitioner (Adult Health)

285 SILLS RD BLDG 5-6
E PATCHOGUE, NY 11772

Suffolk County (631) 475-5511

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 Sandra Boucicaut's NPI number?

The NPI number for Sandra Boucicaut is 1760112213. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Sandra Boucicaut located?

Sandra Boucicaut practices at 285 Sills Rd Bldg 5-6, East Patchogue, NY 11772. The listed phone number is (631) 228-5802.

What is Sandra Boucicaut's specialty?

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

Is Sandra Boucicaut enrolled in Medicare?

Yes. Sandra Boucicaut 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.

When was this NPI record last updated?

The NPPES record for Sandra Boucicaut was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.