Kathleen Fanelli
Acute Care Nurse Practitioner · Port Jefferson, NY
Kathleen Fanelli is an acute care nurse practitioner with a practice address in Port Jefferson, New York, and NPI 1023833977, issued on Nov 16, 2024. Check the license (New York F433058-01, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kathleen Fanelli
- Primary taxonomy
- Acute Care Nurse Practitioner 363LA2100X
- License number
- F433058-01 NY
Self-reported in NPPES; status is on the state search - Practice location
- 75 N Country RD, Port Jefferson, NY 11777
- Phone
- (631) 473-1320
- Enumerated
- Nov 16, 2024
- Record last updated
- Mar 20, 2025
- Medicare enrollment
- Enrolled (PECOS I20250404001335); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest acute care nurse practitioner records → All 1,720 in New York → Look up another NPI →
Also registered at 75 N Country RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Yasser Abdelbaki, M.D.Internal Medicine Physician1790149771
- Omar Ahmad, MDInternal Medicine Physician1043531254
- Mohamed AhmedPsychiatry Physician1912534652
- Fareeha Ajmal, DOHospitalist Physician1285375675
- Sarmad Al Obaidi, MDStudent in an Organized Health Care Education/Training Program1780387662
- Shabab Ali, MDStudent in an Organized Health Care Education/Training Program1497694962
Verify Kathleen Fanelli in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license F433058-01Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- John T Mather Memorial HospitalPort Jefferson, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kathleen Fanelli among 1,720 acute care nurse practitioner records in New York
Kathleen Fanelli is one of 1,720 acute care nurse practitioner records with a practice address in New York. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 82% of them.
- NPI issued2024 · 82% of these records are older, 11% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 56% of these records are
- Graduated2024 · median 2020 among the 965 with a school on file
- Record last updated2025 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2100X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Acute Care Nurse Practitioner providers in New York
There are 1,720 acute care nurse practitioner records in New York.
All 1,720 in New York → Every provider in Port Jefferson → Acute Care Nurse Practitioner nationwide →
The 8 acute care nurse practitioner records with the nearest ZIP codes
- Melissa Copeland, NPPort Jefferson Station, NY 117761285394122
- Summer Davies, RN, MSN, APRNPort Jefferson Station, NY 117761851945356
- Jacqueline Wilson, AGACNPRonkonkoma, NY 117791912681644
- Mara Dooley, NPPatchogue, NY 117721770380784
- Terry Pontino, NPEast Patchogue, NY 117721093089542
- Anthony Tesoriero, NPSeaford, NY 117831831016567
- Kerry Leroy, NPSmithtown, NY 117871710653373
- William Moon, NPSmithtown, NY 117871568155182
Common questions
What is Kathleen Fanelli's NPI number?
Kathleen Fanelli's National Provider Identifier (NPI) is 1023833977, issued on Nov 16, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Kathleen Fanelli located?
The NPPES record lists a practice address at 75 N Country RD, Port Jefferson, NY, 11777. Phone: (631) 473-1320. Providers update this record themselves, so call before visiting.
How can I verify Kathleen Fanelli's license?
NPPES lists New York license number F433058-01, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.