Stephan Nickolas Deturris, - Medicare Certified Registered Nurse Anesthetist (crna) in Stony Brook, NY

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Stephan Nickolas Deturris, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Stony Brook, New York. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice New York University and his current practice location is 101 Nicolls Rd, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 638-3700.

Stephan Nickolas Deturris is licensed to practice in New York (license number 734070-01) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538059464.

Contact Information

Stephan Nickolas Deturris,
101 Nicolls Rd,
Stony Brook, NY 11794-0001
(631) 638-3700
Not Available

Map and Direction




Provider's Profile

Full NameStephan Nickolas Deturris
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience1 Years
Location101 Nicolls Rd, Stony Brook, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephan Nickolas Deturris graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1538059464
  • Provider Enumeration Date: 07/03/2025
  • Last Update Date: 09/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466943105
  • Enrollment ID: I20251111002004

Medical Identifiers

Medical identifiers for Stephan Nickolas Deturris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538059464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 734070-01 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Nyu Langone HospitalsNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324225925

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephan Nickolas Deturris allows following entities to bill medicare on his behalf.
Entity NameStony Brook Anaesthesiology University Faculty Practice Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801841184
PECOS PAC ID: 3375434970
Enrollment ID: O20040323000959
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851456701
PECOS PAC ID: 1355232422
Enrollment ID: O20040329001569

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephan Nickolas Deturris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephan Nickolas Deturris,
Po Box 26,
Commack, NY 11725-0026

Ph: (631) 745-9998		Stephan Nickolas Deturris,
101 Nicolls Rd,
Stony Brook, NY 11794-0001

Ph: (631) 638-3700

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Stony Brook, NY

Cindy Thompson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-512-6235    
Joreene Jasmin,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Health Science Tower, Level 4 Room 060, Stony Brook, NY 11794
Phone: 305-609-7617    
Wajahat Hameed,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-689-8333    
Mrs. Nancy Perez-gabriel,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-444-2907    
Lauren Logue, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-444-2975    
Dorothy E Gozdziak,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-444-1202    
Caitlin Janosick,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-689-8333    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.