TAMISHA KELLY PMHNP
NPI 1487073821
Nurse Practitioner - Psychiatric/Mental Health in Valley Stream, NY
About Tamisha Kelly Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMISHA KELLY PMHNP (NPI 1487073821) is an individual psychiatric/mental health provider in Valley Stream, New York, licensed in New York (403636) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Tamisha Kelly Pmhnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tamisha Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Westbury, NY 11590
- Reassigned Medicare billing, New York enrollment
- 17 clinicians in this Medicare group
New York, NY 10016
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Psychiatric Nurse Practitioner PC
- 63 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11580 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tamisha Kelly's NPI number?
The NPI number for Tamisha Kelly is 1487073821. It was assigned to this individual provider in the NPPES registry on April 14, 2014.
Where is Tamisha Kelly located?
Tamisha Kelly practices at 873 Balfour St, Valley Stream, NY 11580. The listed phone number is (917) 449-7395.
What is Tamisha Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tamisha Kelly enrolled in Medicare?
Yes. Tamisha Kelly 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 Tamisha Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tamisha Kelly reassigns Medicare benefits to 2 organizations: Sr Medical Services PLLC (Westbury, NY) and Psychiatric Nurse Practitioner P.C (New York, 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 Tamisha Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tamisha Kelly accept?
Health plans from Oscar Health list Tamisha Kelly 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 Tamisha Kelly was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tamisha Kelly, PMHNP · NPI 1487073821
Psychiatric/Mental Health physician in Valley Stream, New York. Individual provider, active in the CMS NPPES registry since April 14, 2014.
## Identity
- **NPI:** 1487073821 (Entity type: Individual)
- **Enumerated:** April 14, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 403636 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 873 BALFOUR ST, Valley Stream, NY 11580-1524
- **Phone:** (917) 449-7395
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sr Medical Services PLLC (NPI 1063119543, Westbury, NY); Psychiatric Nurse Practitioner P.C (NPI 1518595727, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** November 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1487073821) · Data from the CMS NPPES public registry.