Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEIDI MARIE KINNALLY NP
NPI 1245512284
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Active since September 15, 2011PECOS EnrolledAccepts Medicare Assignment
1045 JAMES ST, SYRACUSE, NY 13203(315) 472-4471(315) 472-1759 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 10, 2026, Oct 30, 2023 (2 updates tracked since 2023).

About Heidi Marie Kinnally Np NPPES

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

HEIDI MARIE KINNALLY NP (NPI 1245512284) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (F401384-1) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1245512284
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEIDI MARIE KINNALLYCredential: NP
Location Address1045 JAMES STSyracuse, NY 13203-2730
Mailing Address1045 James StSyracuse, NY 13203-2730 · (315) 472-4471 · Fax (315) 472-1759
Fax(315) 472-1759
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 15, 2011
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1245512284 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 · F401384-1
1045 JAMES ST, Syracuse, NY 13203

Other Names 1

Other Name (5)Heidi Marie Prong

Accepted Insurance

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

Heidi Marie Kinnally Np 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 ID8022394188
PECOS Enrollment IDI20170404002474
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 13203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Nurse Practitioner (Family)
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Licensed Practical Nurse
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Social Worker
1045 JAMES ST
SYRACUSE, NY 13203
Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203

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 Heidi Kinnally's NPI number?

The NPI number for Heidi Kinnally is 1245512284. It was assigned to this individual provider in the NPPES registry on September 15, 2011. The provider is also known as Heidi Marie Prong.

Where is Heidi Kinnally located?

Heidi Kinnally practices at 1045 James St, Syracuse, NY 13203. The listed phone number is (315) 472-4471.

What is Heidi Kinnally's specialty?

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

Is Heidi Kinnally enrolled in Medicare?

Yes. Heidi Kinnally 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.

What insurance does Heidi Kinnally accept?

Health plans from Providence Health Plan list Heidi Kinnally as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heidi Kinnally was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.