Lorraine Callas, A.N.P.
Individual provider Active NPI Nurse Practitioner · Wading River, NY
NPI 1992841407 · NPPES record last updated May 2, 2018
Key facts
- NPI
- 1992841407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F303856 (NY)
- Practice address
- 90 Hidden Pond Path
Wading River, NY 11792-2175 - Phone
- (631) 397-0012
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
880 Wunneweta Rd
Cutchogue, NY 11935-2818
Phone (631) 397-0012
Hospital & facility affiliations
- Catholic Home Care
- Peconic Bay Homehealth Services
- Tender Loving Care, an Amedisys Company
- Good Shepherd Hospice
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041012000020 | NY | Practitioner - Nurse Practitioner | 4385604792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F303856 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L.C. Nurse Practitioner in Adult Health Services PLLC | Current |
Accepting new patients | |
| Brent W Spears MD PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F303856 | NY | Yes |
Addresses
Primary practice location
90 Hidden Pond Path
Wading River, NY 11792-2175
Mailing address
90 Hidden Pond Path
Wading River, NY 11792-2175
Phone (631) 397-0012
Other practice location 1
880 Wunneweta Rd
Cutchogue, NY 11935-2818
Phone (631) 397-0012
Other providers in Wading River, NY
- Jon Neil Brodbeck
- Tesia Marie Brooks
- Myles Buhner
- Meredith Leslie Bushell
- C Jay'S Management Corporation
- Jeffrey P Campisi
- Allyson Carlson
- Kayla B Carrasquillo
- Alina M. Cavallo
- Yelena Chavez
All providers in Wading River, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.