Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Angeline Jean Louis

Individual provider Gerontology Nurse Practitioner · NPI 1689490021

Angeline Jean Louis is a Nurse Practitioner in Whitestone, New York. Qualified in 2024, 2 years ago. Practices with North Shore-Lij Medical Group PC, a 31-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

1802 Petracca Pl Ste 103
Whitestone, NY 11357-6000
Phone: (646) 722-7610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 261 Meredith Ln, West Hempstead, NY 11552-1245 — (607) 349-5104
  • 865 Merrick Ave Ste 72n, Westbury, NY 11590-6694 — (516) 266-9585

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence F312130 (NY)

Record details

NPI number1689490021
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2024
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North Shore-Lij Medical Group Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at North Shore-Lij Medical Group PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 31 clinicians in the practice; 12 are shown here.

Other providers in Whitestone