DENISE A ALBANO ANPC
NPI 1770588378
Nurse Practitioner - Adult Health in East Setauket, NY

Q: What is Denise Albano's NPI number?

The NPI number for Denise Albano is 1770588378. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Q: What is Denise Albano'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 Denise Albano was last updated on March 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment

98.52/100

CMS Quality Rating

235 N BELLE MEAD RD, EAST SETAUKET, NY 11733(631) 751-3000(631) 751-3366 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Denise A Albano Anpc NPPES

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

DENISE A ALBANO ANPC (NPI 1770588378) is an individual adult health provider in East Setauket, New York, licensed in New York (F302538) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1998).

NPPES Registry Identity

NPI1770588378

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameDENISE A ALBANOCredential: ANPC

Location Address235 N BELLE MEAD RDEast Setauket, NY 11733-3456

Mailing Address235 N Belle Mead RdEast Setauket, NY 11733-3456 · (631) 751-3000 · Fax (631) 751-3366

Phone(631) 751-3000

Fax(631) 751-3366

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1998

Enumeration DateJune 20, 2005

Last NPPES UpdateMarch 11, 2011

✔ NPI 1770588378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LA2200X

License✔ Licensed in NY · F302538

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 9600447 (NC)

235 N BELLE MEAD RD, East Setauket, NY 11733

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Other Identifiers 4

Medicare UPINP13721NY

Medicaid02242102NY

Medicare PIN96N381NY

OtherP00153714NY · Rr Medicare

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

Denise A Albano Anpc 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 ID2264596287

PECOS Enrollment IDI20110422000166

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.

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

242 services205 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.

105 services86 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 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.

16 services16 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 11733 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

Quality

82.85

Promoting Interoperability

100

Improvement Activities

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.

SANDRA THOMAS

Nurse Practitioner (Adult Health)