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

Q: 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.

Q: What is Kelly Liotta's specialty?

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

Q: 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 22 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.

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: August 23, 2026.

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

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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

Phone(516) 458-9342

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

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Medicare Participation & PECOS CMS

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

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.

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.

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Nurse Practitioner (Adult Health)