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

Kim Ann Vitacco, NP

Individual provider Adult Health Nurse Practitioner · NPI 1912908484

Kim Ann Vitacco, NP is a Nurse Practitioner in Wading River, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2003, 23 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Partly verified

Some contact details are missing from the federal record.

Kim A Vitacco Anp-C 2 Shelter Harbor Ct
Wading River, NY 11792-2202
Phone: (631) 886-1668
Fax: (631) 886-1909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F303866 (NY)

Record details

NPI number1912908484
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022

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 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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