PETER SMITH NP
NPI 1710360102
Nurse Practitioner - Psychiatric/Mental Health in Riverhead, NY
NPI Status: Active since July 02, 2015
Contact Information
208 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901
Phone: (631) 369-0104
- Individual
- Male
- Nurse Practitioner
- Psychiatric/Mental Health
- PECOS Enrolled
- Opted-Out Medicare
About PETER SMITH
This page provides the complete NPI Profile along with additional information for Peter Smith, a provider established in Riverhead, New York with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1710360102 assigned on July 2015. The practitioner's primary taxonomy code is 363LP0808X with license number 401875 (NY). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1710360102
- Provider Name
- PETER SMITH NP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 208 ROANOKE AVE RIVERHEAD, NY 11901
- Location Phone
- (631) 369-0104
- Mailing Address
- 208 ROANOKE AVE RIVERHEAD, NY 11901
- Mailing Phone
- (631) 369-0104
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-02-2015
- Last Update Date
- 04-06-2016
- Code Navigator
A nurse practitioner (NP) like Peter Smith is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Peter Smith opted out of Medicare effective on 01-23-2020 until 01-23-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 401875
- License State
- NY
Medicare Participation & PECOS Enrollment Status
Peter Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-23-2020
Opt-Out End Date: 01-23-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 11901 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $105.06
- Minimum New Patient Price $67.4
- Maximum New Patient Price $203.53
- Average New Patient Copayment $26.26
- Minimum New Patient Copayment $16.85
- Maximum New Patient Copayment $50.88
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $117.62
- Minimum Established Patient Price $21.66
- Maximum Established Patient Price $164.45
- Average Established Patient Copayment $29.4
- Minimum Established Patient Copayment $5.41
- Maximum Established Patient Copayment $41.11
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 3 | 6 | 0 | 1 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 6 | 0 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 6 + 0 + 1 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1710360102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194945626 | MRS. ELIANA DENARO MSW Individual | Social Worker | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1821218017 | MRS. CELESTE NEWBY CASAC-T Individual | Counselor (Addiction (Substance Use Disorder)) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1376745778 | MS. ROBYN BETH BERGER-GASTON LCSW Individual | Social Worker (Clinical) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1447423769 | PHILIP MODAYIL M.D Individual | Psychiatry & Neurology (Psychiatry) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1568639524 | HELEN MACK LCSW Individual | Social Worker (Clinical) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1205087376 | MRS. KRISTIN C GELZINIS MSW Individual | Social Worker (Clinical) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1821301474 | GRACE ANNA ROBAYO LMSW Individual | Social Worker | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1669767612 | MR. PETER VINCENT PIRAINO MSW Individual | Case Manager/Care Coordinator | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1235577271 | MRS. RAFAELA A VASQUEZ LMSW Individual | Social Worker | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1922129626 | MANJULA SHARMA MD Individual | Psychiatry & Neurology (Psychiatry) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1245695717 | ANTONIO DELANO WALCOTT JR. MHC-LP Individual | Counselor (Mental Health) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1215381447 | TEGAN HULSE LMSW Individual | Social Worker (Clinical) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 591-7583 |
| 1023522711 | MS. ELIZABETH PAIGE SMITH LMSW Individual | Social Worker | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1013418409 | BRIANNE O'MALLEY Individual | Counselor (Mental Health) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 255-3657 |
| 1255813796 | REBECCA ANN GORDON LMSW Individual | Social Worker | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1720551161 | CHELSEA VILLALBA Individual | Specialist/Technologist (Athletic Trainer) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 369-0104 |
| 1619440773 | MRS. JILLIAN MARIE RAGONESE Individual | Specialist/Technologist (Athletic Trainer) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 998-1003 |
| 1881168839 | VICTORIA OLIVER Individual | Counselor | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 291-1717 |
| 1326512054 | ELEANOR MARIN-HURLEY Individual | Specialist/Technologist (Athletic Trainer) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (631) 560-9953 |
| 1770057267 | ERIC GERALD ELIE Individual | Specialist/Technologist (Athletic Trainer) | 208 ROANOKE AVE RIVERHEAD, NY 11901 (215) 987-8740 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710360102, enumerated in the NPI registry as an "individual" on July 02, 2015
The provider is located at 208 Roanoke Ave Riverhead, Ny 11901 and the phone number is (631) 369-0104
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $105.06 with an average copayment of $26.26 for new patient appointments. Established patients should expect a typical charge of $117.62 and an average copayment of 29.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on January 23, 2020 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 23, 2026.
This NPI record was last updated on July 02, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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