MARYJANINE T HAUSLE FNP
NPI 1902115603
Nurse Practitioner - Family in Manorville, NY

Active since September 28, 2010PECOS EnrolledAccepts Medicare Assignment
12 PIDGEON CT, MANORVILLE, NY 11949(631) 588-4810(631) 588-4810 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maryjanine T Hausle Fnp NPPES

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

MARYJANINE T HAUSLE FNP (NPI 1902115603) is an individual family provider in Manorville, New York, licensed in New York (336000) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1902115603
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARYJANINE T HAUSLECredential: FNP
Location Address12 PIDGEON CTManorville, NY 11949-2618
Mailing Address12 Pidgeon CtManorville, NY 11949-2618 · (631) 588-4810 · Fax (631) 588-4810
Fax(631) 588-4810
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 28, 2010
NPI 1902115603 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 · 336000
12 PIDGEON CT, Manorville, NY 11949

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

Maryjanine T Hausle Fnp 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 ID2365625001
PECOS Enrollment IDI20110317000872
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.

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11949 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 Maryjanine Hausle's NPI number?

The NPI number for Maryjanine Hausle is 1902115603. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Where is Maryjanine Hausle located?

Maryjanine Hausle practices at 12 Pidgeon Ct, Manorville, NY 11949. The listed phone number is (631) 588-4810.

What is Maryjanine Hausle's specialty?

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

Is Maryjanine Hausle enrolled in Medicare?

Yes. Maryjanine Hausle 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 Maryjanine Hausle affiliated with any hospitals?

According to CMS data, Maryjanine Hausle is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Maryjanine Hausle was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.