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MARISA NICOLE MEDUGNO PA-C
NPI 1982055471
Physician Assistant - Surgical in Bayshore, NY

Active since June 26, 2016PECOS Enrolled
91.25/100
CMS Quality Rating
301 EAST MAIN STREET, ACUTE CARE SURGERY / TRAUMA, BAYSHORE, NY 11706(631) 968-3895 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Feb 21, 2018, Jun 26, 2016 (3 updates tracked since 2016).

About Marisa Nicole Medugno Pa-c NPPES

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

MARISA NICOLE MEDUGNO PA-C (NPI 1982055471) is an individual surgical provider in Bayshore, New York and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982055471
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARISA NICOLE MEDUGNOCredential: PA-C
Location Address301 EAST MAIN STREET, ACUTE CARE SURGERY / TRAUMABayshore, NY 11706
Mailing Address301 East Main Street, Acute Care Surgery / TraumaBayshore, NY 11706 · (631) 968-3895
Phone(631) 968-3895
Sole ProprietorNo
Enumeration DateJune 26, 2016
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1982055471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
301 EAST MAIN STREET, Bayshore, NY 11706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa Nicole Medugno Pa-c 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 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 8

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

XUXIA CHEN
Student in an Organized Health Care Education/Training Program
301 EAST MAIN STREET, FAMILY MEDICINE PROGRAM
BAY SHORE, NY 11706
Suffolk County (631) 968-3295
JEETINDER K GUJRAL
Hospitalist
301 EAST MAIN STREET
BAYSHORE, NY 11706
Suffolk County (631) 968-3000
PAUL SILVERBERG PA-C
Physician Assistant
301 EAST MAIN STREET
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
GIANNINA M GALLAGHER RPA-C
Physician Assistant (Surgical)
301 EAST MAIN STREET
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID SEDAGHAT MD
Internal Medicine (Cardiovascular Disease)
301 EAST MAIN STREET
BAY SHORE, NY 11706
Suffolk County (631) 968-3292
MRS. ROSALIE FAULKNER ANP-C
Nurse Practitioner (Adult Health)
301 EAST MAIN STREET, DEPARTMENT OF CARDIOLOGY
BAYSHORE, NY 11706
Suffolk County (631) 968-3171
DANIELLE KNUPPEL NP
Nurse Practitioner (Family)
301 EAST MAIN STREET, EMERGENCY DEPARTMENT
BAY SHORE, NY 11706
Suffolk County (631) 968-3314
MISS LAURIE ELIZABETH JOHNSON RPA-C
Physician Assistant
301 EAST MAIN STREET
BAYSHORE, NY 11706
Suffolk County (631) 553-7551

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 Marisa Medugno's NPI number?

The NPI number for Marisa Medugno is 1982055471. It was assigned to this individual provider in the NPPES registry on June 26, 2016.

Where is Marisa Medugno located?

Marisa Medugno practices at 301 East Main Street Acute Care Surgery / Trauma, Bayshore, NY 11706. The listed phone number is (631) 968-3895.

What is Marisa Medugno's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Marisa Medugno enrolled in Medicare?

Yes. Marisa Medugno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marisa Medugno was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.