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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CRAIG HEADLEY NP
NPI 1508263013
Nurse Practitioner - Psychiatric/Mental Health in Carle Place, NY

Active since November 26, 2014PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
5 CORNWALL LN APT 2X, CARLE PLACE, NY 11514(516) 294-1728 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Mar 2, 2026, Jan 21, 2026 (3 updates tracked since 2026).

About Craig Headley Np NPPES

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

CRAIG HEADLEY NP (NPI 1508263013) is an individual psychiatric/mental health provider in Carle Place, New York, licensed in New York (F401722) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1508263013
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCRAIG HEADLEYCredential: NP
Location Address5 CORNWALL LN APT 2XCarle Place, NY 11514-1083
Mailing Address5 Cornwall Ln Apt 2xCarle Place, NY 11514-1083
Phone(516) 294-1728
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 26, 2014
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1508263013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NY · F401722✔ Licensed in NC · 5021624✔ Licensed in ID · 7761377✔ Licensed in CT · 14165
5 CORNWALL LN APT 2X, Carle Place, NY 11514
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1701 Lewiston StCottonwood, ID 83522-9750 · Phone (208) 962-3251
Location 2301 Cedar StOrofino, ID 83544-9029 · Phone (208) 476-5777 · Fax (208) 476-5385
Location 32003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-4000
Location 4540 LITCHFIELD STTORRINGTON, CT 06790-6679 · Phone (972) 449-0540

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

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

Craig Headley 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 ID1355666454
PECOS Enrollment IDI20171106001802, I20220511002394, I20220517001310, I20250303003228, I20250306000759, I20250310000754, I20250314002748, I20250414001815, I20250804000608
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.

Areas of Expertise CMS Part B claims 6

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
69 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services35 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services33 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
39 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
28 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11514 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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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 Craig Headley's NPI number?

The NPI number for Craig Headley is 1508263013. It was assigned to this individual provider in the NPPES registry on November 26, 2014.

Where is Craig Headley located?

Craig Headley practices at 5 Cornwall Ln Apt 2X, Carle Place, NY 11514. The listed phone number is (516) 294-1728.

What is Craig Headley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Craig Headley enrolled in Medicare?

Yes. Craig Headley 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.

What insurance does Craig Headley accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Craig Headley 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.

Is Craig Headley affiliated with any hospitals?

According to CMS data, Craig Headley is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Headley was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.