Individual provider Active NPI

Roxanne P Chase-Wiley, F.N.P.

  • Family Nurse Practitioner
  • Syosset, NY
National Provider Identifier
1336395532
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335635 Issued in NY
Practice address
150 Eileen Way
Syosset, NY 11791-5313
Phone
(800) 860-3274
NPI assigned
Aug 7, 2008
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F335635 NY Primary
Family Nurse Practitioner 363LF0000X NP200004933 DC
Family Nurse Practitioner 363LF0000X 10817 CT
Family Nurse Practitioner 363LF0000X RN2363574 MA
Family Nurse Practitioner 363LF0000X 31669 OH
Family Nurse Practitioner 363LF0000X 241884621 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407652 NY

Addresses

Primary practice location

150 Eileen Way
Syosset, NY 11791-5313

Mailing address

240 Indian River Rd Ste C
Orange, CT 06477-3649
Phone (914) 715-8693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, CT, MA, DC, VA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20100205000507 NY Practitioner - Nurse Practitioner 3779626288 Reassigns benefits to 5 organizations
I20220915002047 OH Practitioner - Nurse Practitioner 3779626288 Reassigns benefits to 1 organization
I20240503000067 CT Practitioner - Nurse Practitioner 3779626288 Reassigns benefits to 2 organizations
I20240611002666 MA Practitioner - Nurse Practitioner 3779626288 Reassigns benefits to 2 organizations
I20240926002168 DC Practitioner - Nurse Practitioner 3779626288 Reassigns benefits to 1 organization
I20241119001505 VA Practitioner - Nurse Practitioner 3779626288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Care Medical Group PLLCGroup PAC ID 7113298209, 45 clinicians

Practice addresses (Care Compare)

1000 High St
Port Chester, NY 10573-4402
Phone (914) 937-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10817CTMDFamily Nurse Practitioner
RN2363574MAMDFamily Nurse Practitioner
F335635NYMDFamily Nurse Practitioner
31669OHMDFamily Nurse Practitioner
241884621VAMDFamily Nurse Practitioner
407652NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, LLC CurrentSince Sep 1, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Oct 1, 2021 Accepting new patients
Bridge Health PLLC CurrentSince Jun 27, 2024 Accepting new patients
Progressive Care Medical Group, PLLC CurrentSince Dec 16, 2023 Accepting new patients
Advantagecare Physicians PC CurrentSince Oct 1, 2021 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Apr 15, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Apr 15, 2025 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 26, 2024 Accepting new patients
Garumuni Anura Desilva, MD PC CurrentSince Apr 1, 2024 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Aug 8, 2024 Accepting new patients
Impact Health P.C. Family CurrentSince Apr 1, 2024 Accepting new patients
Daniel Novick MD PLLC Family CurrentSince Sep 6, 2024 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Cityblock Medical Practice, P.a. PastSince Apr 22, 2022 Accepting new patients

Locations

14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

400 Bolton St
Marlborough, MA 01752
Phone (508) 481-6123

180 Low St
Newburyport, MA 01950
Phone (978) 465-5361

35 Storey Ave
Newburyport, MA 01950
Phone (978) 225-6607

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (347) 463-5529

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

154 Jefferson Hts
Catskill, NY 12414
Phone (518) 942-5151

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

1000 High St
Port Chester, NY 10573
Phone (914) 597-2837

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

55 Cold Spring Rd
Syosset, NY 11791
Phone (516) 921-5910

800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Networks

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

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: roxanne.chase-wiley.1@30520.direct.athenahealth.com

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1336395532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 INDIAN RIVER RD STE C",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773649",
            "telephone_number": "914-715-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915313",
            "telephone_number": "800-860-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE-WILEY",
        "first_name": "ROXANNE",
        "middle_name": "P",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335635",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP200004933",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10817",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2363574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "31669",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "241884621",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.