DR. AMANDA JENNIE ZELEN PSY.D.
NPI 1104558683
Student in an Organized Health Care Education/Training Program in Glen Oaks, NY
About Dr. Amanda Jennie Zelen Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMANDA JENNIE ZELEN PSY.D. (NPI 1104558683) is an individual student in an organized health care education/training program in Glen Oaks, New York and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2021).
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 and accepts Medicare assignment
Dr. Amanda Jennie Zelen Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Zelen 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
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.
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 Amanda Zelen's NPI number?
The NPI number for Amanda Zelen is 1104558683. It was assigned to this individual provider in the NPPES registry on June 24, 2022.
Where is Amanda Zelen located?
Amanda Zelen practices at 7559 263rd St, Glen Oaks, NY 11004. The listed phone number is (718) 470-8100.
What is Amanda Zelen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Amanda Zelen enrolled in Medicare?
Yes. Amanda Zelen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amanda Zelen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Zelen 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 Amanda Zelen'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 Amanda Zelen was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Amanda Jennie Zelen, PSY.D. · NPI 1104558683
Student in an Organized Health Care Education/Training Program provider in Glen Oaks, New York. Individual provider, active in the CMS NPPES registry since June 24, 2022.
## Identity
- **NPI:** 1104558683 (Entity type: Individual)
- **Enumerated:** June 24, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 7559 263RD ST, Glen Oaks, NY 11004-1100
- **Phone:** (718) 470-8100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **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
- **Medical school:** Nova Southeastern College Of Osteo Medicine, class of 2021
## Record status
- **NPPES last updated:** June 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104558683) · Data from the CMS NPPES public registry.