Nicole Lynn Flandina, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Brightwaters, NY
NPI 1013493337 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1013493337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F343359 (NY)
- Practice address
- 402 Potter Blvd
Brightwaters, NY 11718-1830 - Phone
- (631) 894-5600
- NPI assigned
- Jul 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
402 Potter Blvd
Brightwaters, NY 11718-1830
Phone (631) 587-1800
Hospital & facility affiliations
- NS/Lij HS Southside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210504001873 | NY | Practitioner - Nurse Practitioner | 3072922004 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F343359 | NY | MD | Family Nurse Practitioner |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients | |
| North Shore - Lij Medical PC | Current |
Accepting new patients | |
| North Suffolk Cardiology-Stony Brook Community Medical, PC | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
402 Potter Blvd
Brightwaters, NY 11718
Phone (631) 689-1400
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- nicolecasanova@nslijmedgr.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F343359 | NY | Yes |
Addresses
Primary practice location
402 Potter Blvd
Brightwaters, NY 11718-1830
Mailing address
20 Glide LN
Holtsville, NY 11742-2206
Phone (631) 741-7715
Other names
- Ms. Nicole Lynn Casanova
Other providers in Brightwaters, NY
- Eric John Dieckmann
- Jessica Dufour Rosado
- Tashina Elizabeth Dussie
- Epic Medical Associates LLC
- Janet B Erickson
- Eric C Freeman
- Isabella Rose Giordano
- Nicole Grehn
- Kaitlin Haines
- Gary Hanson
All providers in Brightwaters, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.