Noemi Villanueva Sta Ana, AGPCNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

309322 Issued in NY

Practice address

1738 Newbridge Rd Unit 1
North Bellmore, NY 11710-1657

Phone

(917) 861-3374

NPI assigned

Oct 24, 2020

Last updated

Feb 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Noemi Villanueva Sta. Ana Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Mill Basin Medical Health PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346006202
  Medicare reassignment Care Compare group
• Parkway Preventive Medical Care PLLC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1578318143

  Single Specialty

  Medicare reassignment NPD
• Saba Medical PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Mamaroneck, NY
  • NPI 1093098022

  Single Specialty

  Medicare reassignment NPD
• My Medical PC

  • Family Medicine Physician
  • Valley Cottage, NY
  • NPI 1518637891

  Single Specialty

  NPD
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328

  Single Specialty

  NPD (past)
• Woodcrest Rehabilitation and Residential Health Care Center LLC

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1508069360
  NPD (past)

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1528667169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ROUTE 100",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "10589",
            "telephone_number": "914-232-5101",
            "fax_number": "914-373-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 NEWBRIDGE RD UNIT 1",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101657",
            "telephone_number": "917-861-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STA ANA",
        "first_name": "NOEMI",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Ms.",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "309322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bellmore",
            "affiliation": "N",
            "endpointDescription": "Mailing address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bellmore",
            "address_1": "1738 Newbridge Rd Unit 1",
            "city": "North Bellmore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117101657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NOEMI",
            "last_name": "STA. ANA",
            "middle_name": "VILLANUEVA",
            "prefix": "MS.",
            "credential": "AGPCNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Primary Care Nurse Practitioner in North Bellmore, NY
• Providers in North Bellmore, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.