Individual provider Active NPI

Nicoletta Guerrier, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Elmont, NY
National Provider Identifier
1790327062
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311312-01 Issued in NY
Practice address
2366 Dutch Broadway
Elmont, NY 11003-3508
Phone
(516) 488-8595
Fax
(516) 488-8599
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC0400X 5955951 NY
Adult Health Nurse Practitioner 363LA2200X F311312-01 NY Primary

Addresses

Primary practice location

2366 Dutch Broadway
Elmont, NY 11003-3508

Mailing address

2366 Dutch Broadway
Elmont, NY 11003-3508
Phone (516) 488-8595

Other names 1

  • Nicoletta Guerrier Professional name

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
I20250515000054 NY Practitioner - Nurse Practitioner 3971021890 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5955951NYMDCase Management Registered Nurse
F311312-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Team Care Medical PLLC Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
North Shore-Lij Medical PC Single Specialty PastSince Oct 1, 2019 Accepting new patients
North Shore-Lij Medical Group P.C. Single Specialty PastSince Oct 1, 2019 Accepting new patients

Locations

596 Prospect Pl
Brooklyn, NY 11238
Phone (718) 362-1450

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1790327062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033508",
            "telephone_number": "516-488-8595",
            "fax_number": "516-488-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033508",
            "telephone_number": "516-488-8595",
            "fax_number": "516-488-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRIER",
        "first_name": "NICOLETTA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "5955951",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311312-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTA",
            "last_name": "GUERRIER",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.