KATHRYN KOHANANOO AGPCNP
NPI 1306563762
Nurse Practitioner - Adult Health in Roslyn, NY
About Kathryn Kohananoo Agpcnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN KOHANANOO AGPCNP (NPI 1306563762) is an individual adult health provider in Roslyn, New York, licensed in New York (F310990) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Kathryn Kohananoo Agpcnp 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 Kathryn Kohananoo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lindenhurst, NY 11757
- Reassigned Medicare billing, New York enrollment
- 348 clinicians in this Medicare group
West Islip, NY 11795
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Samaritan Medical Services PC
- 209 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Francis Hospital - The Heart Center
Acute Care Hospitals · Roslyn, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11576 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.
ROSLYN, NY 11576
ROSLYN, NY 11576
ROSLYN, NY 11576
ROSLYN, NY 11576
ROSLYN, NY 11576
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 Kathryn Kohananoo's NPI number?
The NPI number for Kathryn Kohananoo is 1306563762. It was assigned to this individual provider in the NPPES registry on October 25, 2022.
Where is Kathryn Kohananoo located?
Kathryn Kohananoo practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 562-6373.
What is Kathryn Kohananoo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kathryn Kohananoo enrolled in Medicare?
Yes. Kathryn Kohananoo 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 Kathryn Kohananoo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Kohananoo reassigns Medicare benefits to 2 organizations: Southwest Suffolk Medical PC (Lindenhurst, NY) and Samaritan Medical Services, P.C. (West Islip, 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 Kathryn Kohananoo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathryn Kohananoo affiliated with any hospitals?
According to CMS data, Kathryn Kohananoo is affiliated with St Francis Hospital - The Heart Center.
When was this NPI record last updated?
The NPPES record for Kathryn Kohananoo was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kathryn Kohananoo, AGPCNP · NPI 1306563762
Adult Health physician in Roslyn, New York. Individual provider, active in the CMS NPPES registry since October 25, 2022.
## Identity
- **NPI:** 1306563762 (Entity type: Individual)
- **Enumerated:** October 25, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F310990 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 PORT WASHINGTON BLVD, Roslyn, NY 11576-1353
- **Phone:** (516) 562-6373
## 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): Southwest Suffolk Medical PC (NPI 1770919763, Lindenhurst, NY); Samaritan Medical Services, P.C. (NPI 1124184544, West Islip, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 25, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1306563762) · Data from the CMS NPPES public registry.