KATHLEEN FENTRESS TRIPP PMHNP-BC
NPI 1306196795
Nurse Practitioner - Psychiatric/Mental Health in Long Island City, NY
About Kathleen Fentress Tripp Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN FENTRESS TRIPP PMHNP-BC (NPI 1306196795) is an individual psychiatric/mental health provider in Long Island City, New York, licensed in New York (401518) and active in the NPI registry since September 2012. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Bronx.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kathleen Fentress Tripp Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kathleen Fentress Tripp's NPI number?
The NPI number for Kathleen Fentress Tripp is 1306196795. It was assigned to this individual provider in the NPPES registry on September 13, 2012.
Where is Kathleen Fentress Tripp located?
Kathleen Fentress Tripp practices at 41-43 Crescent Street, Long Island City, NY 11101. The listed phone number is (718) 784-2240.
What is Kathleen Fentress Tripp's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kathleen Fentress Tripp enrolled in Medicare?
No. Kathleen Fentress Tripp has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kathleen Fentress Tripp was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kathleen Fentress Tripp, PMHNP-BC · NPI 1306196795
Psychiatric/Mental Health physician in Long Island City, New York. Individual provider, active in the CMS NPPES registry since September 13, 2012.
## Identity
- **NPI:** 1306196795 (Entity type: Individual)
- **Enumerated:** September 13, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 401518 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 41-43 CRESCENT STREET, Long Island City, NY 11101
- **Phone:** (718) 784-2240
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1306196795) · Data from the CMS NPPES public registry.