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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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Secondary Practice Locations 2

Location 117 West StGoshen, NY 10924-1853 · Phone (845) 645-2625 · Fax (949) 399-6005

Location 245 St John StGoshen, NY 10924-1518 · Phone (845) 645-2625

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

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.

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.

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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)