NICOLE CAROLE PRIANTI ANP
NPI 1871853473
Nurse Practitioner - Adult Health in Stony Brook, NY

Active since May 17, 2012PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
101 NICOLLS RD, STONY BROOK, NY 11794(631) 449-2140 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 18, 2019, Aug 11, 2017 (2 updates tracked since 2017).

About Nicole Carole Prianti Anp NPPES

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

NICOLE CAROLE PRIANTI ANP (NPI 1871853473) is an individual adult health provider in Stony Brook, New York, licensed in New York (307899) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and maintains a secondary practice location in Port Jefferson.

NPPES Registry Identity

NPI1871853473
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNICOLE CAROLE PRIANTICredential: ANP
Location Address101 NICOLLS RDStony Brook, NY 11794
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2016
Enumeration DateMay 17, 2012
Last NPPES UpdateJune 18, 20192 updates tracked since enumeration
NPI 1871853473 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 · 307899
101 NICOLLS RD, Stony Brook, NY 11794

Secondary Practice Location 1

Location 175 N Country RdPort Jefferson, NY 11777-2119 · Phone (631) 473-1320

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

Nicole Carole Prianti Anp 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 ID9739421660
PECOS Enrollment IDI20190425000651
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
235 services126 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
167 services134 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
106 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services27 patients

Hospital Affiliations CMS Care Compare

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

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD, HSC-T17 ROOM 040/DIVISION OD PULMONARY MEDICINE
STONY BROOK, NY 11794
Nurse Anesthetist, Certified Registered
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
General Acute Care Hospital (Children)
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 Nicole Prianti's NPI number?

The NPI number for Nicole Prianti is 1871853473. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Nicole Prianti located?

Nicole Prianti practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 449-2140.

What is Nicole Prianti's specialty?

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

Is Nicole Prianti enrolled in Medicare?

Yes. Nicole Prianti 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 Nicole Prianti affiliated with any hospitals?

According to CMS data, Nicole Prianti is affiliated with Peconic Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Prianti was last updated on June 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.