Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Domenica Rappa, RN, FNP

Individual provider Registered Nurse · NPI 1255677480

Domenica Rappa, RN, FNP is a Nurse Practitioner in Port Jefferson, New York. Qualified in 2018, 8 years ago. Practices with John T Mather Memorial Hospital, a 180-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Partly verified

Some contact details are missing from the federal record.

Mather Hospital 75 N Country Rd
Port Jefferson, NY 11777
Phone: (631) 473-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 344016 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 645874 (NY)

Record details

NPI number1255677480
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP
Sole proprietorYes
NPI enumeratedDecember 16, 2012
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice John T Mather Memorial Hospital — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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