Individual provider Active NPI

Patricia R Macdonald, MSN, FNP

  • Family Nurse Practitioner
  • Miller Place, NY
National Provider Identifier
1427289586
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F-336045-1 Issued in NY
Practice address
464 Route 25a
Miller Place, NY 11764-2514
Phone
(631) 642-2200
Fax
(631) 642-2195
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 F-336045-1 NY Primary

Addresses

Primary practice location

464 Route 25a
Miller Place, NY 11764-2514

Mailing address

464 Route 25a
Miller Place, NY 11764-2514
Phone (631) 642-2200

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
I20110510000157 NY Practitioner - Nurse Practitioner 0244416204 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Jjgnp in Adult Health, P.C.Group PAC ID 1658608658, 3 clinicians

Practice addresses (Care Compare)

464 Route 25a
Miller Place, NY 11764-2514

77 Shore Rd
Mount Sinai, NY 11766-1419
Phone (631) 642-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F-336045-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fingers From Heaven Inc CurrentSince Jan 19, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 3, 2017 Accepting new patients
Fulton Medical, P.C. CurrentSince Mar 18, 2017 Accepting new patients
Jjgnp in Adult Health, P.C. CurrentSince Mar 31, 2021 Accepting new patients
Pathways to Health, LLC Past Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

464 Route 25A
Miller Place, NY 11764
Phone (631) 680-9458

60 Queens St
Ste 100
Syosset, NY 11791
Phone (347) 267-0904

972 Brush Hollow Rd
Westbury, NY 11590

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, 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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1427289586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642514",
            "telephone_number": "631-642-2200",
            "fax_number": "631-642-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642514",
            "telephone_number": "631-642-2200",
            "fax_number": "631-642-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F-336045-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

Verify at the official NPI Registry.