1. Home
  2. Directory
  3. New York
  4. Bay Shore
  5. Nurse Practitioner
  6. NPI Profile

MRS. NICOLE LOUIS BEAUBRUN NP
NPI 1780815480
Nurse Practitioner - Psychiatric/Mental Health in Bay Shore, NY

Active since July 30, 2009PECOS Enrolled
1211 HOWELLS RD, BAY SHORE, NY 11706(631) 586-3501 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Nicole Louis Beaubrun Np NPPES

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

MRS. NICOLE LOUIS BEAUBRUN NP (NPI 1780815480) is an individual psychiatric/mental health provider in Bay Shore, New York, licensed in New York (403215) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780815480
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. NICOLE LOUIS BEAUBRUNCredential: NP
Location Address1211 HOWELLS RDBay Shore, NY 11706-1945
Mailing Address1211 Howells RdBay Shore, NY 11706-1945 · (631) 586-3501
Phone(631) 586-3501
Sole ProprietorYes
Enumeration DateJuly 30, 2009
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1780815480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403215
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 305199 (NY)
1211 HOWELLS RD, Bay Shore, NY 11706
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Nicole Louis Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Louis Beaubrun 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Beaubrun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nys Office Of Mental Health
2.9 mi
Adult Mental Health
998 CROOKED HILL RD
West Brentwood, NY 11717
  • Reassigned Medicare billing, New York enrollment
  • 54 clinicians in this Medicare group
NPI 1578627485 (631) 761-3500
Mental Health Specialty Group PA
448 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, New York enrollment
  • 144 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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

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

SERENEMIND NP IN ADULT HEALTH &PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1211 HOWELLS RD
BAY SHORE, NY 11706
Suffolk County (631) 260-2280

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 Nicole Beaubrun's NPI number?

The NPI number for Nicole Beaubrun is 1780815480. It was assigned to this individual provider in the NPPES registry on July 30, 2009. The provider is also known as Ms. Nicole Louis Np.

Where is Nicole Beaubrun located?

Nicole Beaubrun practices at 1211 Howells Rd, Bay Shore, NY 11706. The listed phone number is (631) 586-3501.

What is Nicole Beaubrun's specialty?

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

Is Nicole Beaubrun enrolled in Medicare?

Yes. Nicole Beaubrun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Beaubrun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Beaubrun reassigns Medicare benefits to 2 organizations: Nys Office Of Mental Health (West Brentwood, NY) and Mental Health Specialty Group PA (Durham, NC). 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 Nicole Beaubrun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Beaubrun was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.