ELLIOT THOMAS DEBROSSE
NPI 1760365514
Nurse Practitioner - Psychiatric/Mental Health in Farmingville, NY

Q: What is Elliot Debrosse's NPI number?

The NPI number for Elliot Debrosse is 1760365514. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Q: What is Elliot Debrosse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Elliot Debrosse enrolled in Medicare?

No. Elliot Debrosse has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Elliot Debrosse was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 July 29, 2025Opted out of Medicare · through Apr 16, 2028

400 HORSEBLOCK RD STE H, FARMINGVILLE, NY 11738(631) 233-9490 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Elliot Thomas Debrosse NPPES

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

ELLIOT THOMAS DEBROSSE (NPI 1760365514) is an individual psychiatric/mental health provider in Farmingville, New York, licensed in New York (407352) and active in the NPI registry since July 2025. He has opted out of Medicare through April 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760365514

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameELLIOT THOMAS DEBROSSE

Location Address400 HORSEBLOCK RD STE HFarmingville, NY 11738-1252

Mailing Address400 Horseblock Rd Ste HFarmingville, NY 11738-1252 · (631) 233-9490

Phone(631) 233-9490

Sole ProprietorNo

Enumeration DateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1760365514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 407352

400 HORSEBLOCK RD STE H, Farmingville, NY 11738

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Elliot Thomas Debrosse has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2026 through April 16, 2028.

Opt-Out Effective DateApril 16, 2026

Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11738 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 9

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

DR. ARARY B CANAVARROS M.D

Internal Medicine