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VANESSA LYNN PETOELLO ANP
NPI 1992251631
Nurse Practitioner - Adult Health in Patchogue, NY

Active since September 01, 2016PECOS Enrolled
107 N/ OCEAN AVE, SUITE G, PATCHOGUE, NY 11772(631) 654-5004(631) 654-5048 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vanessa Lynn Petoello Anp NPPES

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

VANESSA LYNN PETOELLO ANP (NPI 1992251631) is an individual adult health provider in Patchogue, New York, licensed in New York (F307851-1) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992251631
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameVANESSA LYNN PETOELLOCredential: ANP
Location Address107 N/ OCEAN AVE, SUITE GPatchogue, NY 11772
Mailing Address107 N/ Ocean Ave, Suite GPatchogue, NY 11772 · (631) 654-5004 · Fax (631) 654-5048
Phone(631) 654-5004
Fax(631) 654-5048
Sole ProprietorNo
Enumeration DateSeptember 1, 2016
✔ NPI 1992251631 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 · F307851-1
107 N/ OCEAN AVE, Patchogue, NY 11772
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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)

Vanessa Lynn Petoello Anp 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 Vanessa Petoello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherese M. Laporta D.O., PLLC
Same address
Family Medicine
107 N OCEAN AVE, SUITE G
Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1700050051 (631) 654-5004

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 11772 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 Vanessa Petoello's NPI number?

The NPI number for Vanessa Petoello is 1992251631. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Vanessa Petoello located?

Vanessa Petoello practices at 107 N/ Ocean Ave Suite G, Patchogue, NY 11772. The listed phone number is (631) 654-5004.

What is Vanessa Petoello's specialty?

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

Is Vanessa Petoello enrolled in Medicare?

Yes. Vanessa Petoello is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vanessa Petoello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Petoello reassigns Medicare benefits to Cherese M. Laporta D.O., PLLC (Patchogue, 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 Vanessa Petoello'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 Vanessa Petoello was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.