Individual provider Active NPI

Jeanna Masone, ANP

  • Adult Health Nurse Practitioner
  • East Patchogue, NY
National Provider Identifier
1659717387
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306210-1 Issued in NY
Practice address
129 Evergreen LN
East Patchogue, NY 11772-5805
Phone
(631) 903-0150
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306210-1 NY Primary

Addresses

Primary practice location

129 Evergreen LN
East Patchogue, NY 11772-5805

Mailing address

100 Port Washington Boulevard
St. Francis Hospital
Roslyn, NY 11576-1348
Phone (516) 562-6000

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
I20131204001454 NY Practitioner - Nurse Practitioner 7618103284 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306210-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Current Accepting new patients
CHS Physician Partners, P.C PastSince Jul 2, 2015 Accepting new patients
St Francis Hospital United States Catholic Conference Past Accepting new patients

Locations

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

540 Union Blvd
West Islip, NY 11795
Phone (631) 669-2555

Organizations & group practices 3

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1659717387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BOULEVARD",
            "address_2": "ST. FRANCIS HOSPITAL",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761348",
            "telephone_number": "516-562-6000",
            "fax_number": "516-562-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 EVERGREEN LN",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725805",
            "telephone_number": "631-903-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASONE",
        "first_name": "JEANNA",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306210-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.