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MS. KENISHA ROXANNE LYTTLETON NP
NPI 1154639466
Nurse Practitioner - Family in Bronx, NY

Active since September 21, 2010PECOS Enrolled

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 5, 2021, Apr 4, 2021 (2 updates tracked since 2021).

About Ms. Kenisha Roxanne Lyttleton Np NPPES

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

MS. KENISHA ROXANNE LYTTLETON NP (NPI 1154639466) is an individual family provider in Bronx, New York, licensed in New York (342101) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154639466
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KENISHA ROXANNE LYTTLETONCredential: NP
Location Address615 E 141 STBronx, NY 10454
Mailing Address615 E 141 StBronx, NY 10454
Phone(347) 845-9465
Sole ProprietorYes
Enumeration DateSeptember 21, 2010
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1154639466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 342101
615 E 141 ST, Bronx, NY 10454
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kenisha Roxanne Lyttleton Np 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.

Medicare Billing Reassignments

4

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

Downtown Bronx Medical Associates PC
0.8 mi
Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group
NPI 1689618407 (718) 576-6200
Doral Medical And Multi Specialty Facility LLC
9.5 mi
Multi-Specialty
1797 PITKIN AVE
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 73 clinicians in this Medicare group
NPI 1144693607 (718) 367-2555
Divinity Medical Services PLLC
34 mi
Urgent Care
3379 CROMPOND RD
Yorktown Heights, NY 10598
  • Reassigned Medicare billing, New York enrollment
  • 149 clinicians in this Medicare group
NPI 1497159560 (914) 844-9803
Brookview Medical Associates, PLLC
43 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800

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 10454 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Kenisha Lyttleton's NPI number?

The NPI number for Kenisha Lyttleton is 1154639466. It was assigned to this individual provider in the NPPES registry on September 21, 2010.

Where is Kenisha Lyttleton located?

Kenisha Lyttleton practices at 615 E 141 St, Bronx, NY 10454. The listed phone number is (347) 845-9465.

What is Kenisha Lyttleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kenisha Lyttleton enrolled in Medicare?

Yes. Kenisha Lyttleton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenisha Lyttleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenisha Lyttleton reassigns Medicare benefits to 4 organizations: Downtown Bronx Medical Associates PC (Bronx, NY), Doral Medical And Multi Specialty Facility LLC (Brooklyn, NY), Divinity Medical Services PLLC (Yorktown Heights, NY) and Brookview Medical Associates, PLLC (Bohemia, 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 Kenisha Lyttleton'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 Kenisha Lyttleton was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.