NPIMap

Individual provider Active NPI

Deborah Ann Kacherski, N.P.

  • Family Nurse Practitioner
  • Port Jefferson Station, NY
National Provider Identifier
1134373335
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334838 Issued in NY
Practice address
815 Hallock Ave
Suite B
Port Jefferson Station, NY 11776-1244
Phone
(631) 928-9355
Fax
(631) 928-9351
NPI assigned
Nov 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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 F334838 NY Primary

Addresses

Primary practice location

815 Hallock Ave
Suite B
Port Jefferson Station, NY 11776-1244

Mailing address

815 Hallock Ave
Suite B
Port Jefferson Station, NY 11776-1244
Phone (631) 928-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922000526 NY Practitioner - Nurse Practitioner 7618115726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor View Medical Services PCGroup PAC ID 5092865873, shared by 3 NPIs, 58 clinicians

Practice addresses (Care Compare)

125 Oakland Ave
Suite 204
Port Jefferson, NY 11777-2130
Phone (631) 734-6090

745 Route 25a
Suite a
Rocky Point, NY 11778-6603
Phone (631) 689-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F334838NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor View Medical Services PC CurrentSince May 6, 2015 Accepting new patients
Harbor View Medical Services PC Current Accepting new patients
Harbor View Medical Services PC CurrentSince May 6, 2015 Accepting new patients
James E. Carlson D.O., P.C. Past Accepting new patients

Locations

125 Oakland Ave
Ste 204
Port Jefferson, NY 11777
Phone (631) 686-1414

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

5225 Route 347
Ste 15
Port Jefferson Station, NY 11776
Phone (631) 331-1000

70 N Country Rd
Ste 101
Prt Jefferson, NY 11777
Phone (631) 473-0037

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

75 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 686-2575

745 Route 25A
Ste A
Rocky Point, NY 11778
Phone (631) 689-1400

2500 Nesconset Hwy
Bldg 2
Stony Brook, NY 11790
Phone (631) 444-2571

2500 Route 347
Ste 62
Stony Brook, NY 11790

Networks

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

Interoperability endpoints

  • Direct secure messaging: deborah.kacherski.1@8551.direct.athenahealth.com

Organizations & group practices 4

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 8

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": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1134373335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HALLOCK AVE",
            "address_2": "SUITE B",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761244",
            "telephone_number": "631-928-9355",
            "fax_number": "631-928-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HALLOCK AVE",
            "address_2": "SUITE B",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761244",
            "telephone_number": "631-928-9355",
            "fax_number": "631-928-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHERSKI",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.