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CHIVONE S PAULSON NP
NPI 1124403639
Nurse Practitioner - Psychiatric/Mental Health in Rockaway Beach, NY

Active since July 26, 2015PECOS Enrolled
8802 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693(718) 696-9489 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2019, Feb 10, 2019 (2 updates tracked since 2019).

About Chivone S Paulson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIVONE S PAULSON NP (NPI 1124403639) is an individual psychiatric/mental health provider in Rockaway Beach, New York, licensed in New York (402676) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124403639
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHIVONE S PAULSONCredential: NP
Location Address8802 ROCKAWAY BEACH BLVDRockaway Beach, NY 11693-1609
Mailing Address760 BroadwayBrooklyn, NY 11206-5317
Phone(718) 696-9489
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 26, 2015
Last NPPES UpdateAugust 23, 20192 updates tracked since enumeration
✔ NPI 1124403639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402676
8802 ROCKAWAY BEACH BLVD, Rockaway Beach, NY 11693
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chivone S Paulson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719311323
PECOS Enrollment IDI20200107000282
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Chivone Paulson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Day Treatment Center LLC
3.3 mi
Rehabilitation, Substance Use Disorder
1050 BEACH 21ST ST
Far Rockaway, NY 11691
  • Reassigned Medicare billing, New York enrollment
NPI 1043934508 (347) 698-6400
Catholic Charities Neighborhood Services, Inc.
12 mi
Mental Health (Including Community Mental Health Center)
191 JORALEMON ST, 14TH FLOOR
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 76 clinicians in this Medicare group
NPI 1548373921 (718) 722-6000
Lager Lcsw, PC
17 mi
Clinical
3408 PARK AVE
Wantagh, NY 11793
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1194291773 (516) 221-2123
Phoenix Houses Of Long Island, Inc.
31 mi
Substance Abuse Rehabilitation Facility
998 CROOKED HILL RD, BUILDING #5
Brentwood, NY 11717
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
NPI 1174691281 (631) 306-5749

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 11693 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KIMBERLY GORIS
Case Manager/Care Coordinator
8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY 11693
Queens County (718) 634-3461
TRISHA TAMARA CLAYTON
Counselor
8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY 11693
Queens County (917) 615-2265
BILLETTE JOHNSON
Licensed Practical Nurse
8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY 11693
Queens County (718) 634-3461
MR. GALO CUNTO LCSW
Social Worker (Clinical)
8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY 11693
Queens County (718) 634-3461
NUTCHA PONGSUEA
Social Worker
8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY 11693
Queens County (718) 634-3461
WOLF ARDEN ELARDO
Peer Specialist
8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY 11693
Queens County (718) 634-3461
SANAM AMIRI
Social Worker
8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY 11693
Queens County (718) 643-3461
MS. ALICIA JANE FRY LMSW
Social Worker
8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH, NY 11693
Queens County (718) 634-3461

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 Chivone Paulson's NPI number?

The NPI number for Chivone Paulson is 1124403639. It was assigned to this individual provider in the NPPES registry on July 26, 2015.

Where is Chivone Paulson located?

Chivone Paulson practices at 8802 Rockaway Beach Blvd, Rockaway Beach, NY 11693. The listed phone number is (718) 696-9489.

What is Chivone Paulson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Chivone Paulson enrolled in Medicare?

Yes. Chivone Paulson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chivone Paulson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chivone Paulson reassigns Medicare benefits to 4 organizations: New Day Treatment Center LLC (Far Rockaway, NY), Catholic Charities Neighborhood Services, Inc. (Brooklyn, NY), Lager Lcsw, PC (Wantagh, NY) and Phoenix Houses Of Long Island, Inc. (Brentwood, 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 Chivone Paulson'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 Chivone Paulson was last updated on August 23, 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.