Organization Active NPI

Compass Family Health, NP., P.L.L.C.

  • Family Medicine Physician
  • Farmingville, NY
National Provider Identifier
1083391007
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPASS FAMILY HEALTH, NP., P.L.L.C.
Practice address
33 Tower Hill Ave
Farmingville, NY 11738-1912
Phone
(631) 766-6831
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michele Brunner, FNPNPI 1306451687
Title
Family Nurse Practitioner
Phone
(631) 766-6831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

33 Tower Hill Ave
Farmingville, NY 11738-1912

Mailing address

33 Tower Hill Ave
Farmingville, NY 11738-1912
Phone (631) 766-6831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250117001967 NY Part B Supplier - Clinic/Group Practice 9931638046 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1083391007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TOWER HILL AVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381912",
            "telephone_number": "631-766-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 TOWER HILL AVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381912",
            "telephone_number": "631-766-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS FAMILY HEALTH, NP., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-766-6831",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.