CAROLINE KIERNAN PA-C
NPI 1215641204
Physician Assistant in Garden City, NY

Q: What is Caroline Kiernan's NPI number?

The NPI number for Caroline Kiernan is 1215641204. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Q: What is Caroline Kiernan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Kiernan was last updated on February 15, 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.

Active since January 13, 2023PECOS EnrolledAccepts Medicare Assignment

1101 STEWART AVE STE 100, GARDEN CITY, NY 11530(516) 536-2800 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2023, Jan 13, 2023 (2 updates tracked since 2023).

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About Caroline Kiernan Pa-c NPPES

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

CAROLINE KIERNAN PA-C (NPI 1215641204) is an individual physician assistant in Garden City, New York and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215641204

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAROLINE KIERNANCredential: PA-C

Location Address1101 STEWART AVE STE 100Garden City, NY 11530-4833

Mailing Address492 W Main StCold Spring Harbor, NY 11724-2501 · (631) 921-6557

Phone(516) 536-2800

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 13, 2023

Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2023

✔ NPI 1215641204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1101 STEWART AVE STE 100, Garden City, NY 11530

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline Kiernan Pa-c 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.

PECOS PAC ID1153786033

PECOS Enrollment IDI20230427002538

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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 7

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

AMIRA LISLE DPT

Physical Therapist