Mrs. Claudia Mike Provenzale, AGNP
Mrs. Claudia Mike Provenzale, AGNP is a Nurse Practitioner in Stony Brook, New York. Qualified in 2022, 4 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.
- Years since qualifying
- 4
- Licensed in
- NY
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- AGNP — Adult-Gerontology Nurse Practitioner
- A nurse practitioner focused on adults and older people.
Practice location Address checks out
2500 Nesconset Hwy Bldg 11DStony Brook, NY 11790-2553
Phone: (631) 689-7899
Fax: (631) 689-7865
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 310912 (NY) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence F310912-01 (NY) |
Record details
| NPI number | 1245009547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP |
| Sole proprietor | Yes |
| NPI enumerated | December 28, 2023 |
| Last updated in NPPES | January 16, 2026 |
| Certification date | January 16, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | New York University — 5884 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 161 |
|---|---|
| Services billed | 387 |
| Average patient age | 75 |
Payments from drug and device companies, 2025
| Food and Beverage | $1,214 |
|---|---|
| Education | $63 |
| Compensation for services other than consulting | $24 |
Colleagues at New York University
- Steven Z Brandeis, MD Surgery Physician · New York, NY
- Robert J Cerfolio, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · New York, NY
- Joshua Chodosh, MD Geriatric Medicine (Internal Medicine) Physician · Los Angeles, CA
- Dr. Kathryn A. Colby, MD Cornea and External Diseases Specialist Physician · New York, NY
- Dr. Klaus Dittmar, MD Hematology & Oncology Physician · New Hyde Park, NY
- Conellia Ha, MD Diagnostic Radiology Physician · Rockville Centre, NY
- Marc Kanchuger, MD Anesthesiology Physician · New York, NY
- Serge Kianovski, DPT Physical Therapist · Brooklyn, NY
- Jan Albert Koenig, MD Specialist · Rockville Centre, NY
- Dr. Beth Ami Leeman-Markowski, MD Neurology Physician · New York, NY
- Justin Pederson, RN, AGACNP Acute Care Nurse Practitioner · New York, NY
- Dr. James E Williams, DO Family Medicine Physician · Carle Place, NY
Other providers in Stony Brook
-
Jennifer Pantoliano
2500 Route 347 Bldg 14A, Stony Brook, NY 11790-2554 · (631) 689-7800
-
Jean Marie Peterson, AGNP-C
Stony Brook Medicine Hsc Dept OF Urology Rm 040 Level 9, Stony Brook, NY 11794-8093 · (631) 444-6270
-
April Ida Plank, NP
3 Edmund D Pelligrino Rd, Stony Brook, NY 11794-0001 · (631) 444-2981
-
Nicole Carole Prianti, ANP
101 Nicolls Rd, Stony Brook, NY 11794 · (631) 449-2140
-
Kevin Ramdeen, AGPCNP
101 Nicolls Rd, Stony Brook, NY 11794-0001 · (631) 312-6354
-
MS. Anne L Reinhart, APRN, BC
2500 Rte 347 Bldg 14A, Stony Brook, NY 11790-2554 · (631) 689-7800
-
MS. Lisa Joanne Repper, NP
Stony Brook University Medical Ctr 3 Edmund Pellegrino Dr, Stony Brook, NY 11794-0001 · (631) 638-1000
-
Mrs. Antonieta Ababa Rosenberg, NP
13N Neurology Dept Rm 023 Stony Brook University Hospital 101 Nichols RD, Stony Brook, NY 11794-0001 · (631) 444-3467