KAYLIN SHAYE PELOTENIA PMHNP-BC
NPI 1255215141
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Q: What is Kaylin Pelotenia's NPI number?

The NPI number for Kaylin Pelotenia is 1255215141. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Q: What is Kaylin Pelotenia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaylin Pelotenia was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 04, 2025PECOS EnrolledAccepts Medicare Assignment

719 HARRISON ST, SYRACUSE, NY 13210(315) 464-3265(315) 464-3282 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kaylin Shaye Pelotenia Pmhnp-bc NPPES

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

KAYLIN SHAYE PELOTENIA PMHNP-BC (NPI 1255215141) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (407454) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255215141

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKAYLIN SHAYE PELOTENIACredential: PMHNP-BC

Location Address719 HARRISON STSyracuse, NY 13210-2695

Mailing Address719 Harrison StSyracuse, NY 13210-2695 · (315) 464-3265 · Fax (315) 464-3282

Phone(315) 464-3265

Fax(315) 464-3282

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 4, 2025

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1255215141 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 · 407454

719 HARRISON ST, Syracuse, NY 13210

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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

Kaylin Shaye Pelotenia Pmhnp-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 ID7113422478

PECOS Enrollment IDI20250926000774

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 13210 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.

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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.

WURAOLA SOFOWOTE

Nurse Practitioner (Psychiatric/Mental Health)