KAZELL ANN PENALOSA FNP-BC
NPI 1215695077
Nurse Practitioner in Cornwall, NY

Active since November 29, 2021PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
19 LAUREL AVE, CORNWALL, NY 12518(845) 534-7711 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kazell Ann Penalosa Fnp-bc NPPES

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

KAZELL ANN PENALOSA FNP-BC (NPI 1215695077) is an individual nurse practitioner in Cornwall, New York, licensed in New York (347643) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with St Luke's Cornwall Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215695077
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAZELL ANN PENALOSACredential: FNP-BC
Location Address19 LAUREL AVECornwall, NY 12518-1403
Mailing Address157 Sickles AveNyack, NY 10960-1829 · (845) 367-1161
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 29, 2021
NPPES CertifiedNovember 28, 2021
NPI 1215695077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 347643
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 684065 (NY)
19 LAUREL AVE, Cornwall, NY 12518

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

Kazell Ann Penalosa Fnp-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.

PECOS PAC ID4981097730
PECOS Enrollment IDI20220131002069
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
402 services120 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
242 services108 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
38 services36 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
33 services28 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12518 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 10

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

Emergency Medicine
19 LAUREL AVE
CORNWALL, NY 12518
Physical Therapist
19 LAUREL AVE
CORNWALL, NY 12518
Psychologist (Cognitive & Behavioral)
19 LAUREL AVE, ST LUKE'S CORNWALL HOSPITAL, FINANCE DEPT
CORNWALL, NY 12518
Internal Medicine (Hematology & Oncology)
19 LAUREL AVE
CORNWALL, NY 12518
Physical Medicine & Rehabilitation
19 LAUREL AVE
CORNWALL, NY 12518
Physical Therapist
19 LAUREL AVE
CORNWALL, NY 12518
Registered Nurse (Diabetes Educator)
19 LAUREL AVE
CORNWALL, NY 12518
Physical Therapist
19 LAUREL AVE
CORNWALL, NY 12518

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 Kazell Ann Penalosa's NPI number?

The NPI number for Kazell Ann Penalosa is 1215695077. It was assigned to this individual provider in the NPPES registry on November 29, 2021.

Where is Kazell Ann Penalosa located?

Kazell Ann Penalosa practices at 19 Laurel Ave, Cornwall, NY 12518. The listed phone number is (845) 534-7711.

What is Kazell Ann Penalosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kazell Ann Penalosa enrolled in Medicare?

Yes. Kazell Ann Penalosa 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.

Is Kazell Ann Penalosa affiliated with any hospitals?

According to CMS data, Kazell Ann Penalosa is affiliated with St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Kazell Ann Penalosa was last updated on November 29, 2021. 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.