DANIELLE NICOLE BLACKMORE NP
NPI 1841939105
Nurse Practitioner - Neonatal in Stony Brook, NY

Active since June 03, 2022PECOS Enrolled
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-2000 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Danielle Nicole Blackmore Np NPPES

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

DANIELLE NICOLE BLACKMORE NP (NPI 1841939105) is an individual neonatal provider in Stony Brook, New York, licensed in New York (350560) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841939105
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameDANIELLE NICOLE BLACKMORECredential: NP
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address64 Penny DrCalverton, NY 11933-1130 · (516) 768-5174
Sole ProprietorNo
Enumeration DateJune 3, 2022
Last NPPES UpdateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1841939105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in NY · 350560
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 634244 (NY)
101 NICOLLS RD, Stony Brook, NY 11794

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Nicole Blackmore 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 Reassignment

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

Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 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 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.

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.

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

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 Danielle Blackmore's NPI number?

The NPI number for Danielle Blackmore is 1841939105. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Danielle Blackmore located?

Danielle Blackmore practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-2000.

What is Danielle Blackmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Danielle Blackmore enrolled in Medicare?

Yes. Danielle Blackmore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Danielle Blackmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Blackmore reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, 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 Danielle Blackmore'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 Danielle Blackmore was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.