Individual provider Active NPI

Joanne Pierre-Louis

  • Family Nurse Practitioner
  • Massapequa, NY
National Provider Identifier
1154962496
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345056-01 Issued in NY
Practice address
25 Denise St
Massapequa, NY 11758-4318
Phone
(516) 343-0405
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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 F345056-01 NY Primary

Addresses

Primary practice location

25 Denise St
Massapequa, NY 11758-4318

Mailing address

25 Denise St
Massapequa, NY 11758-4318

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
I20210216001486 NY Practitioner - Nurse Practitioner 4183039613 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Urgent Care of East Northport PLLCGroup PAC ID 5294909826, 19 clinicians

Practice addresses (Care Compare)

558 Larkfield Rd
East Northport, NY 11731-4204
Phone (631) 486-7459

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F345056-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of Wantagh PLLC CurrentSince Sep 5, 2022 Accepting new patients
North Shore-Lij Medical PC CurrentSince Nov 15, 2023 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Jan 4, 2021 Accepting new patients
Excel Urgent Care of East Northport, PLLC CurrentSince Jul 11, 2025 Accepting new patients
Chenango Memorial Hospital, Inc. PastSince Jul 11, 2025 Accepting new patients

Locations

558 Larkfield Rd
East Northport, NY 11731
Phone (631) 446-7459

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

4954 Merrick Rd
Massapequa Park, NY 11762
Phone (516) 308-7255

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

300 Community Dr
Plandome, NY 11030

2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

Networks

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1154962496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DENISE ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DENISE ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584318",
            "telephone_number": "516-343-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE-LOUIS",
        "first_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345056-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.