KEVIN O'CONNOR NP
NPI 1396454435
Nurse Practitioner - Family in Seaford, NY

Active since November 17, 2022PECOS Enrolled
3887 BEACON RD, SEAFORD, NY 11783(631) 520-8771 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, Aug 21, 2023, Nov 17, 2022 (3 updates tracked since 2022).

About Kevin O'connor Np NPPES

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

KEVIN O'CONNOR NP (NPI 1396454435) is an individual family provider in Seaford, New York, licensed in New York (F352584-01) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2023).

NPPES Registry Identity

NPI1396454435
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEVIN O'CONNORCredential: NP
Location Address3887 BEACON RDSeaford, NY 11783-3602
Mailing Address267 E Main St Bldg CSmithtown, NY 11787-2847 · (631) 418-8069 · Fax (631) 656-0470
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2023
Enumeration DateNovember 17, 2022
Last NPPES UpdateApril 10, 20263 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
NPI 1396454435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F352584-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 530505 (NY)
3887 BEACON RD, Seaford, NY 11783

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin O'connor Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961840194
PECOS Enrollment IDI20240406000149
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.

Areas of Expertise CMS Part B claims 9

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.

Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
355 services69 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
178 services61 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
168 services55 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
24 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11783 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3887 BEACON RD
SEAFORD, NY 11783

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 Kevin O'connor's NPI number?

The NPI number for Kevin O'connor is 1396454435. It was assigned to this individual provider in the NPPES registry on November 17, 2022.

Where is Kevin O'connor located?

Kevin O'connor practices at 3887 Beacon Rd, Seaford, NY 11783. The listed phone number is (631) 520-8771.

What is Kevin O'connor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kevin O'connor enrolled in Medicare?

Yes. Kevin O'connor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin O'connor was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.