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MS. KENNY MIKITA LACOSSIERE NURSE PRACTITIONER
NPI 1336391853
Nurse Practitioner - Adult Health in New York, NY

Active since October 15, 2008PECOS Enrolled
1275 YORK AVE, NEW YORK, NY 10065(212) 717-3028(212) 717-3118 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Kenny Mikita Lacossiere Nurse Practitioner NPPES

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

MS. KENNY MIKITA LACOSSIERE NURSE PRACTITIONER (NPI 1336391853) is an individual adult health provider in New York, New York, licensed in New York (304963-1) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336391853
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. KENNY MIKITA LACOSSIERECredential: NURSE PRACTITIONER
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address60 Turner Pl, Apt 5wBrooklyn, NY 11218-3447 · (718) 469-4618
Phone(212) 717-3028
Fax(212) 717-3118
Sole ProprietorYes
Enumeration DateOctober 15, 2008
✔ NPI 1336391853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 304963-1
1275 YORK AVE, New York, NY 10065
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kenny Mikita Lacossiere Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kenny Lacossiere reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Anesthesiology Group
Same address
Anesthesiology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 482 clinicians in this Medicare group
NPI 1467423020 (646) 227-3813
Klein Medical Services
19 mi
Anesthesiology
3930 RICHMOND AVE STE 104
Staten Island, NY 10312
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group
NPI 1609665207 (718) 957-1342
Jersey Med Well
44 mi
Anesthesiology
1913 ATLANTIC AVE STE 251-A
Manasquan, NJ 08736
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
NPI 1356133409 (718) 957-1342

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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

MRS. ZANA CORREA NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4450
MS. NICOLE NOELLE REYNOLDS NP
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 682-7326
MRS. SHARLENE SEECHARRAN RN, NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2203
CHRISTINA MADINABEITIA DURNEY
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-5164
ALISON GAIL MASSEY ANP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
MICHAEL SCORDO
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
AMPARO G CAMACHO NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4417
DR. INES NIKOLOVSKI MBBS
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065
New York County (212) 639-2000

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 Kenny Lacossiere's NPI number?

The NPI number for Kenny Lacossiere is 1336391853. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is Kenny Lacossiere located?

Kenny Lacossiere practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 717-3028.

What is Kenny Lacossiere's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kenny Lacossiere enrolled in Medicare?

Yes. Kenny Lacossiere is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenny Lacossiere's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenny Lacossiere reassigns Medicare benefits to 3 organizations: Memorial Anesthesiology Group (New York, NY), Klein Medical Services (Staten Island, NY) and Jersey Med Well (Manasquan, NJ). 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 Kenny Lacossiere'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 Kenny Lacossiere was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.