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KELSEY LAGERAAEN PA-C
NPI 1508636481
Physician Assistant in Glen Cove, NY

Active since January 03, 2024PECOS EnrolledAccepts Medicare Assignment
101 SAINT ANDREWS LN, GLEN COVE, NY 11542(516) 674-7300 Get Directions Write a Review

NPPES record last updated: July 28, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 28, 2024, Jul 11, 2024, Jul 6, 2024 and 2 more (5 updates tracked since 2024).

About Kelsey Lageraaen Pa-c NPPES

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

KELSEY LAGERAAEN PA-C (NPI 1508636481) is an individual physician assistant in Glen Cove, New York, licensed in New York (031980) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Northwell Hospital Glen Cove, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508636481
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY LAGERAAENCredential: PA-C
Location Address101 SAINT ANDREWS LNGlen Cove, NY 11542-2263
Mailing Address101 Saint Andrews LnGlen Cove, NY 11542-2263 · (516) 674-7300
Phone(516) 674-7300
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 3, 2024
Last NPPES UpdateJuly 28, 20245 updates tracked since enumeration
NPPES CertifiedJuly 28, 2024
✔ NPI 1508636481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 031980
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 SAINT ANDREWS LN, Glen Cove, NY 11542
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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

Kelsey Lageraaen Pa-c 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 ID2163959644
PECOS Enrollment IDI20241223000207
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.

Hospital Affiliations CMS Care Compare

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

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

BRUCE W MARTIN FNP
Nurse Practitioner (Family)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7461
SUBOOR AZIMI
Pharmacist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7300
DR. JOHN D'ANGELO MD
Emergency Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7325
MAAYAN ESTELLE LIEBERMAN M.D.
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Nassau County (516) 674-7631
ALI AY
Hospitalist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (718) 270-2353
DR. OLUMIDE ADEYEKUN MD
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7300
WAI C MAN D.O.
Internal Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7300
GURBHUSHAN SINGH BASRA M.D.
Radiology (Diagnostic Radiology)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7540

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 Kelsey Lageraaen's NPI number?

The NPI number for Kelsey Lageraaen is 1508636481. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Kelsey Lageraaen located?

Kelsey Lageraaen practices at 101 Saint Andrews Ln, Glen Cove, NY 11542. The listed phone number is (516) 674-7300.

What is Kelsey Lageraaen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsey Lageraaen enrolled in Medicare?

Yes. Kelsey Lageraaen 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.

Is Kelsey Lageraaen affiliated with any hospitals?

According to CMS data, Kelsey Lageraaen is affiliated with Northwell Hospital Glen Cove.

When was this NPI record last updated?

The NPPES record for Kelsey Lageraaen was last updated on July 28, 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.