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MRS. KATHLEEN NICPON NP
NPI 1467664797
Nurse Practitioner - Family in West Haverstraw, NY

Active since May 07, 2007PECOS Enrolled
79.72/100
CMS Quality Rating
51 N ROUTE 9W, WEST HAVERSTRAW, NY 10993(845) 786-4109(845) 786-4526 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kathleen Nicpon Np NPPES

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

MRS. KATHLEEN NICPON NP (NPI 1467664797) is an individual family provider in West Haverstraw, New York, licensed in New York (F332957) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1467664797
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHLEEN NICPONCredential: NP
Location Address51 N ROUTE 9WWest Haverstraw, NY 10993-1127
Mailing Address50-51 Rt 9wWest Haverstraw, NY 10993-1195 · (845) 786-4109 · Fax (845) 786-4526
Phone(845) 786-4109
Fax(845) 786-4526
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMay 7, 2007
Last NPPES UpdateJanuary 8, 2016
✔ NPI 1467664797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F332957
51 N ROUTE 9W, West Haverstraw, NY 10993
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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)

Mrs. Kathleen Nicpon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981781358
PECOS Enrollment IDI20080409000448
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 Nicpon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Helen Hayes Hospital
0.1 mi
Rehabilitation Hospital
HELEN HAYES HOSPITAL, 51-55 ROUTE 9W
West Haverstraw, NY 10993
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: State Of New York Comptrollers Office
  • 53 clinicians in this Medicare group
NPI 1144429895 (845) 786-5000

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 4

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.

Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
106 services99 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
86 services63 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
83 services77 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10993 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.38
Promoting Interoperability88
Improvement Activities40
Cost54.56

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers13 claims13 services$906.74 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers36 claims42 services$2.74 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier15 claims15 services$6.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers42 claims48 services$62.51 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$30.79 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$16.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

FRANCINE MEREDITH SAGE-KING DPT, ATC
Physical Therapist
51 N ROUTE 9W
WEST HAVERSTRAW, NY 10993
Rockland County (845) 786-4156
ALEXANDRA COYA MOT
Occupational Therapist
51 N ROUTE 9W
WEST HAVERSTRAW, NY 10993
Rockland County (845) 786-4347
DR. MARIA ANNA BOIANO DO
Physical Medicine & Rehabilitation
51 N ROUTE 9W, MEDICAL STAFF OFFICE
WEST HAVERSTRAW, NY 10993
Rockland County (845) 786-4062
TIFFANY RIVERA OTR/L
Occupational Therapist
51 N ROUTE 9W
WEST HAVERSTRAW, NY 10993
Rockland County (845) 786-4000
KAITLYN TAYLOR OTR/L
Occupational Therapist (Neurorehabilitation)
51 N ROUTE 9W
WEST HAVERSTRAW, NY 10993
Rockland County (845) 708-4000
MARY GUARRACINI MD
Physical Medicine & Rehabilitation
51 N ROUTE 9W
WEST HAVERSTRAW, NY 10993
Rockland County (845) 786-4101

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 Nicpon's NPI number?

The NPI number for Kathleen Nicpon is 1467664797. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Kathleen Nicpon located?

Kathleen Nicpon practices at 51 N Route 9W, West Haverstraw, NY 10993. The listed phone number is (845) 786-4109.

What is Kathleen Nicpon's specialty?

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

Is Kathleen Nicpon enrolled in Medicare?

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

Which organization bills Medicare for Kathleen Nicpon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Nicpon reassigns Medicare benefits to Helen Hayes Hospital (West Haverstraw, 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 Nicpon'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 Nicpon was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.