Individual provider Active NPI

Catherine Stinsman, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Deer Park, NY
National Provider Identifier
1124574355
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340716-1 Issued in NY
Practice address
2005 Deer Park Ave
Deer Park, NY 11729-2700
Phone
(631) 243-6690
Fax
(631) 595-1502
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340716-1 NY Primary

Addresses

Primary practice location

2005 Deer Park Ave
Deer Park, NY 11729-2700

Mailing address

1010 Northern Blvd Ste 328
Great Neck, NY 11021-5329
Phone (516) 233-2484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161122000023 NY Practitioner - Nurse Practitioner 6305125014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Partnercare Physicians PLLCGroup PAC ID 9638593585, 18 clinicians

Practice addresses (Care Compare)

2005 Deer Park Ave
Deer Park, NY 11729-2700
Phone (631) 496-1999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340716-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Partnercare Physicians PLLC CurrentSince May 15, 2023 Accepting new patients
Samaritan Medical Services, P.C. CurrentSince Dec 20, 2017 Accepting new patients

Locations

2005 Deer Park Ave
Deer Park, NY 11729
Phone (631) 243-6690

1010 Northern Blvd
Ste 328
Great Neck, NY 11021
Phone (516) 354-7900

1400 Deer Park Ave
Ste 2
North Babylon, NY 11703
Phone (631) 669-6666

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: catherine.stinsman.1@24863.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24863/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1124574355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 328",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215329",
            "telephone_number": "516-233-2484",
            "fax_number": "516-304-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292700",
            "telephone_number": "631-243-6690",
            "fax_number": "631-595-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSMAN",
        "first_name": "CATHERINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340716-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.