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JENNA MARIE CANDEMERES CPNP-PC
NPI 1932965688
Nurse Practitioner - Pediatrics in Port Jefferson Station, NY

Active since February 21, 2024PECOS Enrolled
112 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776(631) 209-2827 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jenna Marie Candemeres Cpnp-pc NPPES

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

JENNA MARIE CANDEMERES CPNP-PC (NPI 1932965688) is an individual pediatrics provider in Port Jefferson Station, New York, licensed in New York (383487) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932965688
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJENNA MARIE CANDEMERESCredential: CPNP-PC
Location Address112 TERRYVILLE RDPort Jefferson Station, NY 11776-1329
Mailing Address38 Ferraro DrHolbrook, NY 11741-5320
Phone(631) 209-2827
Sole ProprietorNo
Enumeration DateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1932965688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 383487
112 TERRYVILLE RD, Port Jefferson Station, NY 11776
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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)

Jenna Marie Candemeres Cpnp-pc 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 Jenna Candemeres reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samaritan Pediatric Services, P.C.
20 mi
Pediatrics
655 DEER PARK AVE
Babylon, NY 11702
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Samaritan Pediatric Services PC
  • 55 clinicians in this Medicare group
NPI 1730308925 (631) 321-2100

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 11776 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA FOY
Physician Assistant
112 TERRYVILLE RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 209-2827
DR. JOHN J RICCIARDELLI M.D.
Internal Medicine
112 TERRYVILLE RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-3900
DR. ADELAIDE LU MASAKAYAN M.D.
Pediatrics
112 TERRYVILLE RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 209-2827
MS. BRENNA KATHERINE BUCKSTEIN MSPAS, PA-C
Physician Assistant
112 TERRYVILLE RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 209-2827

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 Jenna Candemeres's NPI number?

The NPI number for Jenna Candemeres is 1932965688. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Where is Jenna Candemeres located?

Jenna Candemeres practices at 112 Terryville Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 209-2827.

What is Jenna Candemeres's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jenna Candemeres enrolled in Medicare?

Yes. Jenna Candemeres is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenna Candemeres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Candemeres reassigns Medicare benefits to Samaritan Pediatric Services, P.C. (Babylon, 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 Jenna Candemeres'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 Jenna Candemeres was last updated on February 21, 2024. 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.