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

Katelin L Elenterio

Individual provider Registered Nurse · NPI 1427612050

Katelin L Elenterio is a Nurse Practitioner in Port Jefferson, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2014, 12 years ago. Practices with Mission Medical Care PC, a 54-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

70 N Country Rd Ste 201
Port Jefferson, NY 11777-2161
Phone: (631) 331-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 309150 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 542117 (NY)

Record details

NPI number1427612050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESApril 30, 2019
Mailing address70 N Country Rd Ste 201, Port Jefferson, NY 11777-2161

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Mission Medical Care Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Jefferson