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KELSEY WAISANEN
NPI 1154084580
Physician Assistant in Miller Place, NY

Active since October 21, 2021PECOS Enrolled
111 SYLVAN AVE, MILLER PLACE, NY 11764(631) 928-4888 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2023, Oct 21, 2021 (2 updates tracked since 2021).

About Kelsey Waisanen NPPES

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

KELSEY WAISANEN (NPI 1154084580) is an individual physician assistant in Miller Place, New York, licensed in New York (027541) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154084580
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY WAISANEN
Location Address111 SYLVAN AVEMiller Place, NY 11764-2420
Mailing Address111 Sylvan AveMiller Place, NY 11764-2420
Phone(631) 928-4888
Sole ProprietorNo
Enumeration DateOctober 21, 2021
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1154084580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 027541
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 SYLVAN AVE, Miller Place, NY 11764
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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)

Kelsey Waisanen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11764 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAUREN MICHELE BYRNE D.O.
Pediatrics
111 SYLVAN AVE
MILLER PLACE, NY 11764
Suffolk County (631) 928-4888
DR. MUHAMMAD T KAMRAN MD
Pediatrics
111 SYLVAN AVE
MILLER PLACE, NY 11764
Suffolk County (631) 928-4888
DR. JENNIFER BYRNE DO
Pediatrics
111 SYLVAN AVE
MILLER PLACE, NY 11764
Suffolk County (631) 928-4888
GINA PHIFER PNP
Nurse Practitioner (Pediatrics)
111 SYLVAN AVE
MILLER PLACE, NY 11764
Suffolk County (631) 928-4888
MRS. CHRISTINE PFUNDSTEIN PNP, CCE, IBCLC
Nurse Practitioner (Pediatrics)
111 SYLVAN AVE
MILLER PLACE, NY 11764
Suffolk County (631) 928-4888
DR. HARVEY ALAN KOLKER MD
Pediatrics (Adolescent Medicine)
111 SYLVAN AVE
MILLER PLACE, NY 11764
Suffolk County (631) 928-4888
REBECCA ANNE ARENA FNP-BC
Nurse Practitioner (Family)
111 SYLVAN AVE
MILLER PLACE, NY 11764
Suffolk County (631) 928-4888

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 Kelsey Waisanen's NPI number?

The NPI number for Kelsey Waisanen is 1154084580. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Kelsey Waisanen located?

Kelsey Waisanen practices at 111 Sylvan Ave, Miller Place, NY 11764. The listed phone number is (631) 928-4888.

What is Kelsey Waisanen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsey Waisanen enrolled in Medicare?

Yes. Kelsey Waisanen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Waisanen was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.