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MS. KATHLEEN C USMANI CPNP
NPI 1427096742
Nurse Practitioner - Pediatrics in Stony Brook, NY

Active since June 02, 2006PECOS Enrolled
100 NICHOLS RD, STONY BROOK, NY 11790(631) 444-8115(631) 444-8115 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Kathleen C Usmani Cpnp NPPES

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

MS. KATHLEEN C USMANI CPNP (NPI 1427096742) is an individual pediatrics provider in Stony Brook, New York, licensed in New York (F381700) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427096742
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. KATHLEEN C USMANICredential: CPNP
Location Address100 NICHOLS RDStony Brook, NY 11790
Mailing AddressPo Box 1559Stony Brook, NY 11790 · (631) 444-8115 · Fax (631) 444-6045
Phone(631) 444-8115
Fax(631) 444-8115
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 16, 2015
✔ NPI 1427096742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F381700
100 NICHOLS RD, Stony Brook, NY 11790
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Other Identifiers 3

Medicare ID-Type Unspecified1361G1NY
Medicaid02685147NY
Medicare UPINQ57038NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen C Usmani Cpnp 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 Reassignment

Medicare enrollment records show Kathleen Usmani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
0.2 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

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 11790 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.

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 Usmani's NPI number?

The NPI number for Kathleen Usmani is 1427096742. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Kathleen Usmani located?

Kathleen Usmani practices at 100 Nichols Rd, Stony Brook, NY 11790. The listed phone number is (631) 444-8115.

What is Kathleen Usmani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kathleen Usmani enrolled in Medicare?

Yes. Kathleen Usmani is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Usmani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Usmani reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). The 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 Usmani'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 Kathleen Usmani was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.