Katelyn Kelly-johnson, - Medicare Nurse Practitioner in New York, NY

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Katelyn Kelly-johnson, is a medicare enrolled "Nurse Practitioner - Adult Health" in New York, New York. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mskcc Regional Network, Msk Nassau and her current practice location is 1275 York Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 639-2000.

Katelyn Kelly-johnson is licensed to practice in New York (license number 308886) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760952162.

Contact Information

Katelyn Kelly-johnson,
1275 York Ave,
New York, NY 10065-6007
(212) 639-2000
Not Available

Map and Direction




Provider's Profile

Full NameKatelyn Kelly-johnson
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1275 York Ave, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katelyn Kelly-johnson graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1760952162
  • Provider Enumeration Date: 11/28/2018
  • Last Update Date: 11/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3072937911
  • Enrollment ID: I20200723003372

Medical Identifiers

Medical identifiers for Katelyn Kelly-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760952162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 308886 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mskcc Regional Network660876514478
Msk Nassau862831168565

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katelyn Kelly-johnson allows following entities to bill medicare on her behalf.
Entity NameMskcc Regional Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740251297
PECOS PAC ID: 6608765144
Enrollment ID: O20040312000936
Entity NameMemorial Neurology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538130190
PECOS PAC ID: 4688563000
Enrollment ID: O20040313000171
Entity NameMsk Nassau
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053875229
PECOS PAC ID: 8628311685
Enrollment ID: O20190522000541

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelyn Kelly-johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katelyn Kelly-johnson,
15 North Ln,
Glen Cove, NY 11542-2608

Ph: (516) 428-6618		Katelyn Kelly-johnson,
1275 York Ave,
New York, NY 10065-6007

Ph: (212) 639-2000

Reviews and Comments


Nurse Practitioner Nurses in New York, NY

Mrs. Zana Correa, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1275 York Ave, New York, NY 10065
Phone: 646-422-4450    
Maureen Licursi, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 161 Fort Washington Ave, 7th Floor, New York, NY 10032
Phone: 212-305-2466    
Ms. Brenda Dawn Slade, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3009 Broadway, Barnard College Health Service, New York, NY 10027
Phone: 212-854-2091    Fax: 212-854-2702
Ms. Meredith Hooper Conry, N.P.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 122 W 27th St, 6th Floor, New York, NY 10001
Phone: 212-691-2900    
Ms. Nicole Noelle Reynolds, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1275 York Ave, New York, NY 10065
Phone: 212-682-7326    
Mrs. Sharlene Seecharran, RN, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1275 York Ave, New York, NY 10065
Phone: 212-639-2203    
Christina Madinabeitia Durney,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1275 York Ave, New York, NY 10065
Phone: 212-639-5164    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.