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MR. ANTHONY R COLLICA PMHNP
NPI 1558938548
Nurse Practitioner - Psychiatric/Mental Health in Port Jervis, NY

Active since June 08, 2021PECOS EnrolledAccepts Medicare Assignment
146 PIKE ST, PORT JERVIS, NY 12771(845) 858-1456(845) 378-3283 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2026, Aug 26, 2021, Jun 8, 2021 (3 updates tracked since 2021).

About Mr. Anthony R Collica Pmhnp NPPES

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

MR. ANTHONY R COLLICA PMHNP (NPI 1558938548) is an individual psychiatric/mental health provider in Port Jervis, New York, licensed in New York (403616) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558938548
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ANTHONY R COLLICACredential: PMHNP
Location Address146 PIKE STPort Jervis, NY 12771-1808
Mailing Address17 West StGoshen, NY 10924-1853 · (845) 645-2625 · Fax (949) 399-6005
Phone(845) 858-1456
Fax(845) 378-3283
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2021
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1558938548 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
License✔ Licensed in NY · 403616
146 PIKE ST, Port Jervis, NY 12771
Open in Google Maps ↗

Secondary Practice Locations 2

Location 145 St John StGoshen, NY 10924-1518 · Phone (845) 645-2625
Location 217 West StGoshen, NY 10924-1853 · Phone (845) 645-2625 · Fax (949) 399-6005

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

Mr. Anthony R Collica 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.

PECOS PAC ID4486036936
PECOS Enrollment IDI20220801002160
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

2

Medicare enrollment records show Anthony Collica reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Orange
Same address
Mental Health (Including Community Mental Health Center)
146 PIKE STREET
Port Jervis, NY 12771
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group
NPI 1740227214 (845) 858-1456
Anthony R Collica Nurse Practitioner In Psychiatry PLLC
19 mi
Psychiatry
45 ST JOHN ST
Goshen, NY 10924
  • Reassigned Medicare billing, New York enrollment
NPI 1003547076 (845) 645-2625

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
204 services33 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
86 services23 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours Community Hospital

Acute Care Hospitals · Port Jervis, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330135
Location160 East Main StreetPort Jervis, NY 12771 · Orange County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12771 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

LACEY ANNE TRIMBLE LCSW
Social Worker (Clinical)
146 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 291-2604
ALYSSA DILEO
Social Worker
146 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 858-1456
CLARISE DENISE WILLIAMS
Social Worker
146 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 858-1456
BARBARA MARIE MARSZALEK FPMHNP
Nurse Practitioner (Psychiatric/Mental Health)
146 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 858-1456
MS. VICTORIA CARUSO LCSWR
Social Worker (Clinical)
146 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 858-1456
MS. GLORIA D MUNZ LCSW
Social Worker
146 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 858-1456
DR. OSCAR JAMES LEWIS JR. LCSW-R, PH.D.
Social Worker (Clinical)
146 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 862-6181
GENEVIEVE CLINEMAN LCSW
Social Worker (Clinical)
146 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 858-1459

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 Anthony Collica's NPI number?

The NPI number for Anthony Collica is 1558938548. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Anthony Collica located?

Anthony Collica practices at 146 Pike St, Port Jervis, NY 12771. The listed phone number is (845) 858-1456.

What is Anthony Collica's specialty?

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

Is Anthony Collica enrolled in Medicare?

Yes. Anthony Collica 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 Anthony Collica's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Collica reassigns Medicare benefits to 2 organizations: County Of Orange (Port Jervis, NY) and Anthony R Collica Nurse Practitioner In Psychiatry PLLC (Goshen, 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 Anthony Collica's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Anthony Collica affiliated with any hospitals?

According to CMS data, Anthony Collica is affiliated with Bon Secours Community Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Collica was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.