KELSEY FULL PMHNP
NPI 1194425306
Nurse Practitioner - Psychiatric/Mental Health in Long Island City, NY

Active since March 06, 2023PECOS Enrolled
3100 47TH AVE STE 3100, LONG ISLAND CITY, NY 11101(888) 684-2779 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelsey Full Pmhnp NPPES

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

KELSEY FULL PMHNP (NPI 1194425306) is an individual psychiatric/mental health provider in Long Island City, New York, licensed in New York (404261) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194425306
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELSEY FULLCredential: PMHNP
Location Address3100 47TH AVE STE 3100Long Island City, NY 11101-3050
Mailing Address3100 47th Ave Ste 3100Long Island City, NY 11101-3050 · (888) 684-2779
Sole ProprietorNo
Enumeration DateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
✔ NPI 1194425306 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 · 404261
3100 47TH AVE STE 3100, Long Island City, NY 11101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Full Pmhnp 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

2

Medicare enrollment records show Kelsey Full reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
300 CADMAN PLZ W
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 457 clinicians in this Medicare group
Clinical
2433 KNAPP ST STE 306
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 436 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11101 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.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Psychiatric/Mental Health)
3100 47TH AVE STE 3100
LONG ISLAND CITY, NY 11101
Family Medicine
3100 47TH AVE STE 3100
LONG ISLAND CITY, NY 11101
Marriage & Family Therapist
3100 47TH AVE STE 3100
LONG ISLAND CITY, NY 11101
Social Worker (Clinical)
3100 47TH AVE STE 3100
LONG ISLAND CITY, NY 11101
Social Worker
3100 47TH AVE STE 3100
LONG ISLAND CITY, NY 11101
Counselor (Mental Health)
3100 47TH AVE STE 3100
LONG ISLAND CITY, NY 11101
Psychiatry & Neurology (Psychiatry)
3100 47TH AVE STE 3100
LONG ISLAND CITY, NY 11101
Physician Assistant
3100 47TH AVE STE 3100
LONG ISLAND CITY, NY 11101

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 Full's NPI number?

The NPI number for Kelsey Full is 1194425306. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Kelsey Full located?

Kelsey Full practices at 3100 47th Ave Ste 3100, Long Island City, NY 11101. The listed phone number is (888) 684-2779.

What is Kelsey Full's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelsey Full enrolled in Medicare?

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

Which organizations bill Medicare for Kelsey Full's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Full reassigns Medicare benefits to 2 organizations: Che Senior Psychological Services, PC (Brooklyn, NY) and Knapp Street Psychiatry, PC (Brooklyn, 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 Kelsey Full'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 Kelsey Full was last updated on March 6, 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.