Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cheyenne Nicole Clinkscales, PA-C

Individual provider Physician Assistant · NPI 1497509483

Cheyenne Nicole Clinkscales, PA-C is a Physician Assistant in Patchogue, New York. Qualified in 2024, 2 years ago. Practices with Sun River Health Inc, a 242-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

501 N Ocean Ave
Patchogue, NY 11772-1758
Phone: (631) 866-2030
Fax: (631) 866-2033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 031727 (NY)

Record details

NPI number1497509483
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sun River Health Inc. — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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