Kazell Ann Penalosa, FNP-BC - Medicare Nurse Practitioner in Cornwall, NY

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Kazell Ann Penalosa, FNP-BC is a medicare enrolled "Nurse Practitioner" in Cornwall, New York. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hudson Vista Medical Pc and her current practice location is 19 Laurel Ave, Cornwall, New York. You can reach out to her office (for appointments etc.) via phone at (845) 534-7711.

Kazell Ann Penalosa is licensed to practice in New York (license number 347643) 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 1215695077.

Contact Information

Kazell Ann Penalosa, FNP-BC
19 Laurel Ave,
Cornwall, NY 12518-1403
(845) 534-7711
Not Available

Map and Direction




Provider's Profile

Full NameKazell Ann Penalosa
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location19 Laurel Ave, Cornwall, 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:
  • Kazell Ann Penalosa graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1215695077
  • Provider Enumeration Date: 11/29/2021
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981097730
  • Enrollment ID: I20220131002069

Medical Identifiers

Medical identifiers for Kazell Ann Penalosa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215695077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 684065 (New York)Secondary
363L00000XNurse Practitioner 347643 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Cornwall HospitalNewburgh, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hudson Vista Medical Pc862824021512

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. Kazell Ann Penalosa allows following entities to bill medicare on her behalf.
Entity NameHudson Vista Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659666840
PECOS PAC ID: 8628240215
Enrollment ID: O20111003000643

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. Kazell Ann Penalosa 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
Kazell Ann Penalosa, FNP-BC
157 Sickles Ave,
Nyack, NY 10960-1829

Ph: (845) 367-1161		Kazell Ann Penalosa, FNP-BC
19 Laurel Ave,
Cornwall, NY 12518-1403

Ph: (845) 534-7711

Reviews and Comments


Nurse Practitioner Nurses in Cornwall, NY

Mrs. Kimberly Darrigo, ANP
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Phone: 845-565-1771    Fax: 845-565-4941
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Phone: 845-534-3888    Fax: 845-534-4208
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Phone: 845-534-1505    

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).

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