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

MAURICIO VERGARA
NPI 1831966985
Nurse Practitioner - Adult Health in Lynbrook, NY

Active since December 08, 2023PECOS Enrolled
67 CHESTNUT ST, LYNBROOK, NY 11563(917) 612-4401 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mauricio Vergara NPPES

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

MAURICIO VERGARA (NPI 1831966985) is an individual adult health provider in Lynbrook, New York, licensed in New York (311550) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831966985
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMAURICIO VERGARA
Location Address67 CHESTNUT STLynbrook, NY 11563-1838
Mailing Address67 Chestnut StLynbrook, NY 11563-1838
Phone(917) 612-4401
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1831966985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 311550
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 311550 (NY)
67 CHESTNUT ST, Lynbrook, NY 11563
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mauricio Vergara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082120258
PECOS Enrollment IDI20250723003024
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11563 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 Mauricio Vergara's NPI number?

The NPI number for Mauricio Vergara is 1831966985. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Where is Mauricio Vergara located?

Mauricio Vergara practices at 67 Chestnut St, Lynbrook, NY 11563. The listed phone number is (917) 612-4401.

What is Mauricio Vergara's specialty?

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

Is Mauricio Vergara enrolled in Medicare?

Yes. Mauricio Vergara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mauricio Vergara was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.