KATHY HETHERINGTON MLP-NURSE PRACTIONER
NPI 1043452253
Nurse Practitioner - Family in New Hyde Park, NY
About Kathy Hetherington Mlp-nurse Practioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHY HETHERINGTON MLP-NURSE PRACTIONER (NPI 1043452253) is an individual family provider in New Hyde Park, New York, licensed in New York (335654) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathy Hetherington Mlp-nurse Practioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathy Hetherington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HYDE PARK, NY 11042
NEW HYDE PARK, NY 11042
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathy Hetherington's NPI number?
The NPI number for Kathy Hetherington is 1043452253. It was assigned to this individual provider in the NPPES registry on April 2, 2009.
Where is Kathy Hetherington located?
Kathy Hetherington practices at 2500 Marcus Ave Suite 105, New Hyde Park, NY 11042. The listed phone number is (516) 358-1200.
What is Kathy Hetherington's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathy Hetherington enrolled in Medicare?
Yes. Kathy Hetherington is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathy Hetherington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Hetherington reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathy Hetherington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathy Hetherington was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kathy Hetherington, MLP-NURSE PRACTIONER · NPI 1043452253
Family physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since April 2, 2009.
## Identity
- **NPI:** 1043452253 (Entity type: Individual)
- **Enumerated:** April 2, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 335654 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 MARCUS AVE, SUITE 105, New Hyde Park, NY 11042-1097
- **Phone:** (516) 358-1200 · **Fax:** (516) 358-2340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1043452253) · Data from the CMS NPPES public registry.