MS. ANNELISE PAIGE SLACK PA-C
NPI 1831868157
Physician Assistant - Surgical in Roslyn, NY

Active since September 09, 2021PECOS EnrolledAccepts Medicare Assignment
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576(516) 562-6000 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Annelise Paige Slack Pa-c NPPES

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

MS. ANNELISE PAIGE SLACK PA-C (NPI 1831868157) is an individual surgical provider in Roslyn, New York and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831868157
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. ANNELISE PAIGE SLACKCredential: PA-C
Location Address100 PORT WASHINGTON BLVDRoslyn, NY 11576-1353
Mailing Address65 Belmont AveWest Babylon, NY 11704-6435 · (631) 338-8379
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
NPI 1831868157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
100 PORT WASHINGTON BLVD, Roslyn, NY 11576

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

Ms. Annelise Paige Slack Pa-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 ID4789082157
PECOS Enrollment IDI20211015000768
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

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.

Nurse Practitioner (Acute Care)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Internal Medicine (Clinical Cardiac Electrophysiology)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Pediatrics (Pediatric Cardiology)
100 PORT WASHINGTON BLVD, SUITE 108
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Emergency Medicine
100 PORT WASHINGTON BLVD, DEPT OF EMERGENCY MEDICINE
ROSLYN, NY 11576
Nurse Practitioner (Family)
100 PORT WASHINGTON BLVD, ST. FRANCIS HOSPITAL EMERGENCY ROOM
ROSLYN, NY 11576

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 Annelise Slack's NPI number?

The NPI number for Annelise Slack is 1831868157. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Annelise Slack located?

Annelise Slack practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 562-6000.

What is Annelise Slack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Annelise Slack enrolled in Medicare?

Yes. Annelise Slack 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.

Is Annelise Slack affiliated with any hospitals?

According to CMS data, Annelise Slack is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Annelise Slack was last updated on September 9, 2021. 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.