DR. ELIZABETH WADE RAFFANELLO PHD, MPH
NPI 1780376251
Psychologist - Clinical in East Setauket, NY
About Dr. Elizabeth Wade Raffanello Phd, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELIZABETH WADE RAFFANELLO PHD, MPH (NPI 1780376251) is an individual clinical provider in East Setauket, New York, licensed in New York (025657) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Elizabeth Wade Raffanello Phd, Mph 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.
Medicare Billing Reassignments
2Medicare enrollment records show Elizabeth Raffanello reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- 210 clinicians in this Medicare group
Bay Shore, NY 11706
- Reassigned Medicare billing, New York enrollment
- 395 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Charles Hospital
Acute Care Hospitals · Port Jefferson, NYPhysician 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elizabeth Raffanello's NPI number?
The NPI number for Elizabeth Raffanello is 1780376251. It was assigned to this individual provider in the NPPES registry on May 23, 2023.
Where is Elizabeth Raffanello located?
Elizabeth Raffanello practices at 100 S Jersey Ave Unit 21, East Setauket, NY 11733. The listed phone number is (631) 203-7625.
What is Elizabeth Raffanello's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Elizabeth Raffanello enrolled in Medicare?
Yes. Elizabeth Raffanello 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.
Which organizations bill Medicare for Elizabeth Raffanello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Raffanello reassigns Medicare benefits to 2 organizations: St. Charles Hospital Corp. (Port Jefferson, NY) and Good Samaritan Hospital Medical Center (Bay Shore, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Raffanello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elizabeth Raffanello affiliated with any hospitals?
According to CMS data, Elizabeth Raffanello is affiliated with St Charles Hospital.
When was this NPI record last updated?
The NPPES record for Elizabeth Raffanello was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.
# Dr. Elizabeth Wade Raffanello, PHD, MPH · NPI 1780376251
Clinical provider in East Setauket, New York. Individual provider, active in the CMS NPPES registry since May 23, 2023.
## Identity
- **NPI:** 1780376251 (Entity type: Individual)
- **Enumerated:** May 23, 2023
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 025657 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 S JERSEY AVE UNIT 21, East Setauket, NY 11733-2036
- **Phone:** (631) 203-7625
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Charles Hospital Corp. (NPI 1497765630, Port Jefferson, NY); Good Samaritan Hospital Medical Center (NPI 1275820961, Bay Shore, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780376251) · Data from the CMS NPPES public registry.