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

Nancy C Deacon, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134475189

Nancy C Deacon, NP is a Nurse Practitioner in Melville, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2012
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

150 Broadhollow Rd Ste 310
Melville, NY 11747
Phone: (631) 636-7050
Fax: (631) 423-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 401496 (NY)

Record details

NPI number1134475189
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 27, 2012
Last updated in NPPESJune 25, 2015
Mailing address80 Salem Ridge Dr, Huntington, NY 11743

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 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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