MR. WILLIAM LARA FNP-C
NPI 1801407390
Nurse Practitioner - Family in Stony Point, NY

Active since August 10, 2020PECOS EnrolledAccepts Medicare Assignment
12 DE HALVE MAEN DR, STONY POINT, NY 10980(561) 685-5919 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. William Lara Fnp-c NPPES

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

MR. WILLIAM LARA FNP-C (NPI 1801407390) is an individual family provider in Stony Point, New York, licensed in New York (347526) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801407390
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. WILLIAM LARACredential: FNP-C
Location Address12 DE HALVE MAEN DRStony Point, NY 10980-2603
Mailing Address12 De Halve Maen DrStony Point, NY 10980-2603 · (561) 685-5919
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 10, 2020
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1801407390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 347526
12 DE HALVE MAEN DR, Stony Point, NY 10980

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

Mr. William Lara Fnp-c 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 ID648659532
PECOS Enrollment IDI20220623001684
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

4

Medicare enrollment records show William Lara reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
89 S ROUTE 9W
West Haverstraw, NY 10993
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Rockland Urgent Care Family Health Np, PC
  • 22 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
165 MAIN ST
Ossining, NY 10562
  • Reassigned Medicare billing, New York enrollment
  • 149 clinicians in this Medicare group
Pediatrics
14 RAYWOOD DR
Monroe, NY 10950
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
Family Medicine
5160 SPRINGVIEW AVE
Stone Mountain, GA 30083
  • Reassigned Medicare billing, New York enrollment
  • 32 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10980 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 William Lara's NPI number?

The NPI number for William Lara is 1801407390. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Where is William Lara located?

William Lara practices at 12 De Halve Maen Dr, Stony Point, NY 10980. The listed phone number is (561) 685-5919.

What is William Lara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is William Lara enrolled in Medicare?

Yes. William Lara 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 William Lara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Lara reassigns Medicare benefits to 4 organizations: Rockland Urgent Care Family Health Np, P.C. (West Haverstraw, NY), Open Door Family Medical Center, Inc. (Ossining, NY), Kj Medical Practice PC (Monroe, NY) and Medicine Check PC (Stone Mountain, GA). 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 William Lara'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 William Lara was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.