MRS. JOAN MARIE KILLEEN PMHNP-BC
NPI 1164064275
Nurse Practitioner - Psychiatric/Mental Health in Guilderland, NY
About Mrs. Joan Marie Killeen Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JOAN MARIE KILLEEN PMHNP-BC (NPI 1164064275) is an individual psychiatric/mental health provider in Guilderland, New York, licensed in New York (402875) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital Of Troy, New York, and maintains a secondary practice location in Troy.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mrs. Joan Marie Killeen Pmhnp-bc 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 Reassignments
2Medicare enrollment records show Joan Killeen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albany, NY 12205
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: St Peters Hospital Of The City Of Albany
- 623 clinicians in this Medicare group
Troy, NY 12180
- Reassigned Medicare billing, New York enrollment
- 725 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan Hospital Of Troy, New York
Acute Care Hospitals · Troy, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GUILDERLAND, NY 12084
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 Joan Killeen's NPI number?
The NPI number for Joan Killeen is 1164064275. It was assigned to this individual provider in the NPPES registry on October 9, 2019.
Where is Joan Killeen located?
Joan Killeen practices at 2280 Western Ave, Guilderland, NY 12084. The listed phone number is (518) 417-1847.
What is Joan Killeen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Joan Killeen enrolled in Medicare?
Yes. Joan Killeen 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 organizations bill Medicare for Joan Killeen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joan Killeen reassigns Medicare benefits to 2 organizations: St Peters Hospital (Albany, NY) and Samaritan Hospital Of Troy, New York (Troy, 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 Joan Killeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Joan Killeen affiliated with any hospitals?
According to CMS data, Joan Killeen is affiliated with Samaritan Hospital Of Troy, New York.
When was this NPI record last updated?
The NPPES record for Joan Killeen was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Joan Marie Killeen, PMHNP-BC · NPI 1164064275
Psychiatric/Mental Health physician in Guilderland, New York. Individual provider, active in the CMS NPPES registry since October 9, 2019.
## Identity
- **NPI:** 1164064275 (Entity type: Individual)
- **Enumerated:** October 9, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 402875 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2280 WESTERN AVE, Guilderland, NY 12084-9210
- **Phone:** (518) 417-1847
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Peters Hospital (NPI 1437225828, Albany, NY); Samaritan Hospital Of Troy, New York (NPI 1043267727, Troy, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164064275) · Data from the CMS NPPES public registry.