TIJUANA TEMPLE FNP
NPI 1881369486
Nurse Practitioner - Family in Coram, NY

Q: What is Tijuana Temple's NPI number?

The NPI number for Tijuana Temple is 1881369486. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Q: What is Tijuana Temple's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tijuana Temple was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 16, 2021PECOS Enrolled

86.49/100

CMS Quality Rating

65 PENNAQUID RD, CORAM, NY 11727(631) 605-1783 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tijuana Temple Fnp NPPES

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

TIJUANA TEMPLE FNP (NPI 1881369486) is an individual family provider in Coram, New York, licensed in New York (348067) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881369486

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIJUANA TEMPLECredential: FNP

Location Address65 PENNAQUID RDCoram, NY 11727-1227

Mailing Address65 Pennaquid RdCoram, NY 11727-1227 · (631) 605-1783

Phone(631) 605-1783

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 16, 2021

NPPES CertifiedJuly 27, 2021

✔ NPI 1881369486 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 · 348067

65 PENNAQUID RD, Coram, NY 11727

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tijuana Temple Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466843990

PECOS Enrollment IDI20211216002940

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

Medicare enrollment records show Tijuana Temple reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michael Bishai MD, LLC

10 mi

Internal Medicine

50 ROUTE 25A
Smithtown, NY 11787

Reassigned Medicare billing, New York enrollment
11 clinicians in this Medicare group

NPI 1730609827 (516) 550-9865

Robert Courgi LLC

23 mi

Endocrinology, Diabetes & Metabolism

8565 JERICHO TPKE
Woodbury, NY 11797

Reassigned Medicare billing, New York enrollment
3 clinicians in this Medicare group

NPI 1174269039 (917) 913-9993

Fulton Medical, P.C.

26 mi

Internal Medicine

200 BOUNDARY AVE, STE. 200
Massapequa, NY 11758

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Fulton Medical PC
37 clinicians in this Medicare group

NPI 1841635133 (631) 271-9151

Positive Change Psychiatry PLLC

26 mi

Psychiatry

175 JERICHO TPKE, SUITE 301
Syosset, NY 11791

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1265821953 (516) 364-6500

T Temple Family Health Np PLLC

39 mi

Family

70 E SUNRISE HWY STE 500
Valley Stream, NY 11581

Reassigned Medicare billing, New York enrollment

NPI 1912643487 (631) 301-3850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

3,339 services398 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

673 services115 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

651 services265 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

441 services107 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

321 services70 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

80 services45 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

69 services47 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

57 services57 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

44 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

35 services14 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

27 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 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.

18 services17 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

13 services13 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11727 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.

86.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

24.36

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 Tijuana Temple's NPI number?

The NPI number for Tijuana Temple is 1881369486. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Tijuana Temple located?

Tijuana Temple practices at 65 Pennaquid Rd, Coram, NY 11727. The listed phone number is (631) 605-1783.

What is Tijuana Temple's specialty?

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

Is Tijuana Temple enrolled in Medicare?

Yes. Tijuana Temple is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tijuana Temple's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tijuana Temple reassigns Medicare benefits to 5 organizations: Michael Bishai MD, LLC (Smithtown, NY), Robert Courgi LLC (Woodbury, NY), Fulton Medical, P.C. (Massapequa, NY), Positive Change Psychiatry PLLC (Syosset, NY) and T Temple Family Health Np PLLC (Valley Stream, NY). 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 Tijuana Temple'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 Tijuana Temple was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.