Individual provider Active NPI

Jillian Marie Fratepietro, RN, ANP-C

  • Adult Health Nurse Practitioner
  • East Setauket, NY
National Provider Identifier
1427204536
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
30305265 Issued in NY
Practice address
24 Research Way
Suite 500
East Setauket, NY 11733-3487
Phone
(631) 444-6270
Fax
(631) 444-6552
NPI assigned
Aug 9, 2008
Last updated
Nov 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 30305265 NY Primary
Registered Nurse 163W00000X 521994 NY

Addresses

Primary practice location

24 Research Way
Suite 500
East Setauket, NY 11733-3487

Mailing address

HSC Level T9 RM 040 Ufpc Sbumc
Stony Brook Urology
Stony Brook, NY 11794-8093
Phone (631) 444-1916

Other identifiers 1

IdentifierTypeStateIssuer
521994MedicaidNY

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
I20121204000343 NY Practitioner - Nurse Practitioner 6800048547 Reassigns benefits to 3 organizations

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

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-0580

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5220

255 W Montauk Hwy
Life Care Ctr
Hampton Bays, NY 11946
Phone (631) 723-5000

PO Box
Suite 1554
Stony Brook, NY 11790-0989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
521994NYMDRegistered Nurse
30305265NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Surgical Associates, University Faculty Practice Corporati CurrentSince Jan 12, 2026 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Aug 1, 2025 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Aug 1, 2025 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Current Accepting new patients
Medical Services of Setauket, P.C. CurrentSince May 4, 2020 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Past Accepting new patients
Mather Faculty Medical Affiliates, University Faculty Practice Corp Past Accepting new patients

Locations

24 Research Way
Ste 500
Setauket, NY 11733
Phone (631) 444-6470

3400 Nesconset Hwy
Ste 101
Setauket, NY 11733
Phone (631) 751-8700

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

100 Nicolls Rd
#13202
Stony Brook, NY 11794

6144 Route 25A
Ste D21
Wading River, NY 11792
Phone (631) 751-8700

Networks

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1427204536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HSC LEVEL T9 RM 040 UFPC SBUMC",
            "address_2": "STONY BROOK UROLOGY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948093",
            "telephone_number": "631-444-1916",
            "fax_number": "631-444-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 RESEARCH WAY",
            "address_2": "SUITE 500",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333487",
            "telephone_number": "631-444-6270",
            "fax_number": "631-444-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATEPIETRO",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "credential": "RN, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-09",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "30305265",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "521994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521994",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.