ELLEN BRADY
NPI 1194397042
Nurse Practitioner - Family in Rockaway Park, NY
About Ellen Brady NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN BRADY (NPI 1194397042) is an individual family provider in Rockaway Park, New York, licensed in New York (344091) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Brady is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ellen Brady reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 132 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11694 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Ellen Brady's NPI number?
The NPI number for Ellen Brady is 1194397042. It was assigned to this individual provider in the NPPES registry on July 12, 2021.
Where is Ellen Brady located?
Ellen Brady practices at 133 Beach 129th St, Rockaway Park, NY 11694. The listed phone number is (718) 208-8029.
What is Ellen Brady's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ellen Brady enrolled in Medicare?
Yes. Ellen Brady is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ellen Brady's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Brady reassigns Medicare benefits to 2 organizations: Memorial Radiation Oncology Group (New York, NY) and New York University (Boynton Beach, FL). 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 Ellen Brady'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 Ellen Brady was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ellen Brady · NPI 1194397042
Family physician in Rockaway Park, New York. Individual provider, active in the CMS NPPES registry since July 12, 2021.
## Identity
- **NPI:** 1194397042 (Entity type: Individual)
- **Enumerated:** July 12, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 344091 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 133 BEACH 129TH ST, Rockaway Park, NY 11694-1619
- **Phone:** (718) 208-8029
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Memorial Radiation Oncology Group (NPI 1235109224, New York, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194397042) · Data from the CMS NPPES public registry.