MRS. NKENNA NKEMAKOLAM NURSE PRACTITIONER
NPI 1215202650
Nurse Practitioner - Family in Staten Island, NY

Active since March 19, 2012PECOS Enrolled
2460 HYLAN BLVD, STATEN ISLAND, NY 10306(718) 226-5619(718) 226-5620 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Nkenna Nkemakolam Nurse Practitioner NPPES

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

MRS. NKENNA NKEMAKOLAM NURSE PRACTITIONER (NPI 1215202650) is an individual family provider in Staten Island, New York, licensed in New York (F337122-1) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215202650
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NKENNA NKEMAKOLAMCredential: NURSE PRACTITIONER
Location Address2460 HYLAN BLVDStaten Island, NY 10306-3117
Mailing Address104 Sherman AveStaten Island, NY 10301-2333 · (347) 248-7160 · Fax (347) 248-7160
Fax(718) 226-5620
Sole ProprietorNo
Enumeration DateMarch 19, 2012
Last NPPES UpdateDecember 17, 2014
NPI 1215202650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F337122-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 504531 (NY)
2460 HYLAN BLVD, Staten Island, NY 10306

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Nkenna Nkemakolam Nurse Practitioner 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 10306 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.

Other Providers at the Same Location NPPES 8

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

Pediatrics (Pediatric Gastroenterology)
2460 HYLAN BLVD
STATEN ISLAND, NY 10306
Specialist
2460 HYLAN BLVD
STATEN ISLAND, NY 10306
Pediatrics (Pediatric Endocrinology)
2460 HYLAN BLVD
STATEN ISLAND, NY 10306
Pediatrics (Pediatric Endocrinology)
2460 HYLAN BLVD, PEDIATRIC ENDOCRINOLOGY
STATEN ISLAND, NY 10306
Pediatrics (Pediatric Endocrinology)
2460 HYLAN BLVD
STATEN ISLAND, NY 10306
Pediatrics (Pediatric Pulmonology)
2460 HYLAN BLVD
STATEN ISLAND, NY 10306
Pediatrics (Pediatric Cardiology)
2460 HYLAN BLVD
STATEN ISLAND, NY 10306
Physician Assistant (Surgical)
2460 HYLAN BLVD
STATEN ISLAND, NY 10306

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 Nkenna Nkemakolam's NPI number?

The NPI number for Nkenna Nkemakolam is 1215202650. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Nkenna Nkemakolam located?

Nkenna Nkemakolam practices at 2460 Hylan Blvd, Staten Island, NY 10306. The listed phone number is (718) 226-5619.

What is Nkenna Nkemakolam's specialty?

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

Is Nkenna Nkemakolam enrolled in Medicare?

Yes. Nkenna Nkemakolam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nkenna Nkemakolam was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.