KELLY ELISABETH LIOTTA NP
NPI 1497588008
Nurse Practitioner - Acute Care in New York, NY

Active since August 21, 2024PECOS EnrolledAccepts Medicare Assignment
1275 YORK AVE, NEW YORK, NY 10065(516) 458-9342 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2024, Aug 21, 2024 (2 updates tracked since 2024).

About Kelly Elisabeth Liotta Np NPPES

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

KELLY ELISABETH LIOTTA NP (NPI 1497588008) is an individual acute care provider in New York, New York, licensed in New York (433076) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497588008
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLY ELISABETH LIOTTACredential: NP
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 21, 2024
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1497588008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 433076
1275 YORK AVE, New York, NY 10065

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

Kelly Elisabeth Liotta 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 ID8527595024
PECOS Enrollment IDI20241223001102
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

5

Medicare enrollment records show Kelly Liotta reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group
Medical Oncology
1101 HEMPSTEAD TURNPIKE
Uniondale, NY 11553
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
Medical Oncology
500 WESTCHESTER AVE
West Harrison, NY 10604
  • Reassigned Medicare billing, New York enrollment
  • 328 clinicians in this Medicare group
Medical Oncology
650 COMMACK RD
Commack, NY 11725
  • Reassigned Medicare billing, New York enrollment
  • 265 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Kelly Liotta's NPI number?

The NPI number for Kelly Liotta is 1497588008. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Kelly Liotta located?

Kelly Liotta practices at 1275 York Ave, New York, NY 10065. The listed phone number is (516) 458-9342.

What is Kelly Liotta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kelly Liotta enrolled in Medicare?

Yes. Kelly Liotta 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 Kelly Liotta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Liotta reassigns Medicare benefits to 5 organizations: Memorial Urgent Care Group (New York, NY), Msk Nassau (Uniondale, NY), Msk Harrison (West Harrison, NY), Mskcc Regional Network (Commack, NY) and New York University (Boynton Beach, FL). 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 Kelly Liotta'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 Kelly Liotta was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.