IRENE CHRISTINE KIMMELBLATT NP
NPI 1063188662
Nurse Practitioner - Acute Care in New Hyde Park, NY
About Irene Christine Kimmelblatt Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRENE CHRISTINE KIMMELBLATT NP (NPI 1063188662) is an individual acute care provider in New Hyde Park, New York, licensed in New York (432078) and active in the NPI registry since August 2021. 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)
Irene Christine Kimmelblatt Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Irene Kimmelblatt 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 11040 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
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 Irene Kimmelblatt's NPI number?
The NPI number for Irene Kimmelblatt is 1063188662. It was assigned to this individual provider in the NPPES registry on August 23, 2021.
Where is Irene Kimmelblatt located?
Irene Kimmelblatt practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-3377.
What is Irene Kimmelblatt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Irene Kimmelblatt enrolled in Medicare?
Yes. Irene Kimmelblatt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Irene Kimmelblatt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Irene Kimmelblatt 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 Irene Kimmelblatt'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 Irene Kimmelblatt was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Irene Christine Kimmelblatt, NP · NPI 1063188662
Acute Care physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since August 23, 2021.
## Identity
- **NPI:** 1063188662 (Entity type: Individual)
- **Enumerated:** August 23, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 432078 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27005 76TH AVE, New Hyde Park, NY 11040-1402
- **Phone:** (718) 470-3377 · **Fax:** (718) 925-6027
## 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:** August 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063188662) · Data from the CMS NPPES public registry.