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

Mrs. Tracey Bennardo, NP

Individual provider Family Nurse Practitioner · NPI 1194063594

Mrs. Tracey Bennardo, NP is a Nurse Practitioner in West Islip, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2010, 16 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2013
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 Address checks out

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone: (631) 376-3000
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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 336543 (NY)

Record details

NPI number1194063594
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 21, 2013
Last updated in NPPESJanuary 21, 2013

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 2010 (16 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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