Individual provider Active NPI

Laura Rose Chase, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Levittown, NY
National Provider Identifier
1215436886
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406353 Issued in NY
Practice address
3601 Hempstead Tpke Ste 405
Levittown, NY 11756-1331
Phone
(631) 714-4100
Fax
(631) 714-4191
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406353 NY Primary
Family Nurse Practitioner 363LF0000X 342818 NY

Addresses

Primary practice location

3601 Hempstead Tpke Ste 405
Levittown, NY 11756-1331

Mailing address

24 Grove St
Massapequa, NY 11758-5101
Phone (631) 714-4100

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
I20190103002055 NY Practitioner - Nurse Practitioner 7315283819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Neurocare Therapy PLLCGroup PAC ID 8325306632, 2 clinicians

Practice addresses (Care Compare)

1739 N Ocean Ave
Suite a
Medford, NY 11763-2683
Phone (631) 714-4100

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
406353NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Neurocare Therapy PLLC CurrentSince Apr 1, 2025 Accepting new patients
South Island Family Medical, LLC PastSince Aug 27, 2008 Accepting new patients

Locations

1739 N Ocean Ave
Ste A
Medford, NY 11763
Phone (631) 509-6111

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.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1215436886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GROVE ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585101",
            "telephone_number": "631-714-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE STE 405",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561331",
            "telephone_number": "631-714-4100",
            "fax_number": "631-714-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "LAURA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406353",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.