HEIDI MARIE KINNALLY NP
NPI 1245512284
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Heidi Kinnally reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 156 clinicians in this Medicare group
Baldwinsville, NY 13027
- Reassigned Medicare billing, New York enrollment
- 2 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 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.
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.
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.
Which organizations bill Medicare for Heidi Kinnally's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Kinnally reassigns Medicare benefits to 2 organizations: Liberty Resources Inc. (Syracuse, NY) and Upstate Psychiatry, PC (Baldwinsville, 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 Heidi Kinnally'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 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 55 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.
# Heidi Marie Kinnally, NP · NPI 1245512284
Psychiatric/Mental Health physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since September 15, 2011.
## Identity
- **NPI:** 1245512284 (Entity type: Individual)
- **Enumerated:** September 15, 2011
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F401384-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1045 JAMES ST, Syracuse, NY 13203-2730
- **Phone:** (315) 472-4471 · **Fax:** (315) 472-1759
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Liberty Resources Inc. (NPI 1225254881, Syracuse, NY); Upstate Psychiatry, PC (NPI 1184170821, Baldwinsville, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** September 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245512284) · Data from the CMS NPPES public registry.