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

Active since September 15, 2011PECOS EnrolledAccepts Medicare Assignment
61 DELANO ST, PULASKI, NY 13142(315) 298-6564(315) 298-7831 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 Pulaski, 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 Address61 DELANO STPulaski, NY 13142-1400
Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6564 · Fax (315) 298-7831
Phone(315) 298-6564
Fax(315) 298-7831
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 15, 2011
Last NPPES UpdateOctober 30, 2023
NPPES CertifiedOctober 30, 2023
✔ 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
61 DELANO ST, Pulaski, NY 13142
Open in Google Maps ↗

Other Names 1

Other Name (5)Heidi Marie Prong

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 13142 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.

CAITLIN TAYLOR CORRICE PT
Physical Therapist (Orthopedic)
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-4274
JENNIFER L MCGREW RN
Registered Nurse
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6564
VALERIE E GRAF RDH
Dental Hygienist
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6815
JESSICA J OVERTON RDH
Dental Hygienist
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6815
SARAH L ODDO PA
Physician Assistant
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 342-0880
NORTHERN OSWEGO COUNTY HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6564
CAMILLA J LYNDAKER RDH
Dental Hygienist
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6815
BETSY B WATERMAN PHD
Medical Genetics, Ph.D. Medical Genetics
61 DELANO ST
PULASKI, NY 13142
Oswego County (315) 298-6569

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 61 Delano St, Pulaski, NY 13142. The listed phone number is (315) 298-6564.

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 October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.