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MS. THERESA LORRAINE STAVOLA ANP
NPI 1801045984
Nurse Practitioner - Adult Health in Stony Brook, NY

Active since September 15, 2008PECOS Enrolled
HSC T16-080 NICHOLLS RD DEPT OF INTERNAL MEDICINE, DIV OF CARDIOLOGY SUNY STONY BROOK UNIVERSITY HOSPITAL, STONY BROOK, NY 11794(631) 444-1066 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Theresa Lorraine Stavola Anp NPPES

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

MS. THERESA LORRAINE STAVOLA ANP (NPI 1801045984) is an individual adult health provider in Stony Brook, New York, licensed in New York (301910) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801045984
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. THERESA LORRAINE STAVOLACredential: ANP
Location AddressHSC T16-080 NICHOLLS RD DEPT OF INTERNAL MEDICINE, DIV OF CARDIOLOGY SUNY STONY BROOK UNIVERSITY HOSPITALStony Brook, NY 11794
Mailing AddressHsc T16-080 Nicholls Rd Dept Of Internal Medicine, Div Of Cardiology Suny Stony Brook University HospitalStony Brook, NY 11794 · (631) 444-1066
Phone(631) 444-1066
Sole ProprietorNo
Enumeration DateSeptember 15, 2008
✔ NPI 1801045984 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 · 301910
HSC T16-080 NICHOLLS RD DEPT OF INTERNAL MEDICINE, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Theresa Lorraine Stavola Anp 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 Reassignment

Medicare enrollment records show Theresa Stavola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Service League, Inc.
13 mi
Community/Behavioral Health
790 PARK AVE
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 122 clinicians in this Medicare group
NPI 1528093242 (631) 427-3700

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 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.

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 Theresa Stavola's NPI number?

The NPI number for Theresa Stavola is 1801045984. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Theresa Stavola located?

Theresa Stavola practices at Hsc T16-080 Nicholls Rd Dept Of Internal Medicine Div Of Cardiology Suny Stony Brook University Hospital, Stony Brook, NY 11794. The listed phone number is (631) 444-1066.

What is Theresa Stavola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Theresa Stavola enrolled in Medicare?

Yes. Theresa Stavola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Stavola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Stavola reassigns Medicare benefits to Family Service League, Inc. (Huntington, NY). The 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 Theresa Stavola'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 Theresa Stavola was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.