KATHLEEN MARY SPILLANE NP
NPI 1366109712
Nurse Practitioner - Psychiatric/Mental Health in Elmhurst, NY

Active since November 19, 2021PECOS EnrolledAccepts Medicare Assignment
7901 BROADWAY # D10-36, ELMHURST, NY 11373(718) 334-3570(718) 334-5006 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2023, Aug 11, 2022, Nov 19, 2021 (3 updates tracked since 2021).

About Kathleen Mary Spillane Np NPPES

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

KATHLEEN MARY SPILLANE NP (NPI 1366109712) is an individual psychiatric/mental health provider in Elmhurst, New York, licensed in New York (403757) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366109712
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLEEN MARY SPILLANECredential: NP
Location Address7901 BROADWAY # D10-36Elmhurst, NY 11373-1329
Mailing Address7901 Broadway # D10-36Elmhurst, NY 11373-1329 · (718) 334-3570 · Fax (718) 334-5006
Fax(718) 334-5006
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 19, 2021
Last NPPES UpdateAugust 21, 20233 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1366109712 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 · 403757
7901 BROADWAY # D10-36, Elmhurst, NY 11373

Accepted Insurance

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

Kathleen Mary Spillane 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 ID6800262247
PECOS Enrollment IDI20221026001279
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 Kathleen Spillane reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
79-01 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
Clinical
17 FORDHAM RD
West Babylon, NY 11704
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
Internal Medicine
1000 MONTAUK HWY
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Nurse Practitioner (Family)
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Speech-Language Pathologist
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Nurse Practitioner (Psychiatric/Mental Health)
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Social Worker
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Psychiatry & Neurology (Psychiatry)
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Social Worker (Clinical)
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Social Worker
7901 BROADWAY # D10-36
ELMHURST, NY 11373
Social Worker (Clinical)
7901 BROADWAY # D10-36
ELMHURST, NY 11373

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 Spillane's NPI number?

The NPI number for Kathleen Spillane is 1366109712. It was assigned to this individual provider in the NPPES registry on November 19, 2021.

Where is Kathleen Spillane located?

Kathleen Spillane practices at 7901 Broadway # D10-36, Elmhurst, NY 11373. The listed phone number is (718) 334-3570.

What is Kathleen Spillane's specialty?

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

Is Kathleen Spillane enrolled in Medicare?

Yes. Kathleen Spillane 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 Kathleen Spillane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Spillane reassigns Medicare benefits to 3 organizations: New York City Health And Hospitals Corporation (Elmhurst, NY), Heart & Soul Community Counseling (West Babylon, 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 Kathleen Spillane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Spillane accept?

Health plans from Oscar Health list Kathleen Spillane 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 Kathleen Spillane was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.