KATHLEEN MINCONE
NPI 1104460245
Nurse Practitioner - Acute Care in South Huntington, NY
About Kathleen Mincone NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN MINCONE (NPI 1104460245) is an individual acute care provider in South Huntington, New York, licensed in New York (431643) and active in the NPI registry since November 2019. 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)
Kathleen Mincone is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Mincone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 259 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 514 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 11746 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Kathleen Mincone's NPI number?
The NPI number for Kathleen Mincone is 1104460245. It was assigned to this individual provider in the NPPES registry on November 1, 2019.
Where is Kathleen Mincone located?
Kathleen Mincone practices at 12 Schubert Ct, South Huntington, NY 11746. The listed phone number is (631) 903-3975.
What is Kathleen Mincone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kathleen Mincone enrolled in Medicare?
Yes. Kathleen Mincone is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathleen Mincone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Mincone reassigns Medicare benefits to 2 organizations: Memorial Developmental Chemo Group (New York, NY) and Memorial Solid Tumor Group (New York, NY). Each 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 Kathleen Mincone'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 Kathleen Mincone was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kathleen Mincone · NPI 1104460245
Acute Care physician in South Huntington, New York. Individual provider, active in the CMS NPPES registry since November 1, 2019.
## Identity
- **NPI:** 1104460245 (Entity type: Individual)
- **Enumerated:** November 1, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 431643 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12 SCHUBERT CT, South Huntington, NY 11746-4753
- **Phone:** (631) 903-3975
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Memorial Developmental Chemo Group (NPI 1912978487, New York, NY); Memorial Solid Tumor Group (NPI 1699746172, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104460245) · Data from the CMS NPPES public registry.