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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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: July 19, 2026.

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

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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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.