MS. DOREEN MASSEY ELITHARP NP
NPI 1760616825
Nurse Practitioner - Adult Health in Stony Brook, NY

Q: What is Doreen Elitharp's NPI number?

The NPI number for Doreen Elitharp is 1760616825. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Q: What is Doreen Elitharp'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 Doreen Elitharp was last updated on May 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 May 05, 2009PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-8333(634) 444-8825 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Doreen Massey Elitharp Np NPPES

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

MS. DOREEN MASSEY ELITHARP NP (NPI 1760616825) is an individual adult health provider in Stony Brook, New York, licensed in New York (304257) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760616825

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. DOREEN MASSEY ELITHARPCredential: NP

Location Address101 NICOLLS RDStony Brook, NY 11794

Mailing AddressStony Brook University Medical Ctr, Dept. Of Surgery,division -vascular Surgery-hsc 19-020Stony Brook, NY 11794-8191 · (631) 444-4388 · Fax (631) 444-8824

Phone(631) 444-8333

Fax(634) 444-8825

Sole ProprietorNo

Enumeration DateMay 5, 2009

✔ NPI 1760616825 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 · 304257

101 NICOLLS RD, Stony Brook, NY 11794

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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 (PECOS)

Ms. Doreen Massey Elitharp Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11794 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 20

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

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