1. Home
  2. Directory
  3. New York
  4. Riverhead
  5. Nurse Practitioner
  6. NPI Profile

KAYLA EMILY PROVENZANO FNP
NPI 1609599307
Nurse Practitioner - Family in Riverhead, NY

Active since September 19, 2022PECOS EnrolledAccepts Medicare Assignment
1272 E MAIN ST, RIVERHEAD, NY 11901(631) 284-3797 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kayla Emily Provenzano Fnp NPPES

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

KAYLA EMILY PROVENZANO FNP (NPI 1609599307) is an individual family provider in Riverhead, New York, licensed in New York (350411) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609599307
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAYLA EMILY PROVENZANOCredential: FNP
Location Address1272 E MAIN STRiverhead, NY 11901-2583
Mailing Address137 Dawn DrCentereach, NY 11720-2243
Phone(631) 284-3797
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1609599307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 350411
1272 E MAIN ST, Riverhead, NY 11901
Open in Google Maps ↗

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

Kayla Emily Provenzano Fnp 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 ID6507238474
PECOS Enrollment IDI20230202002886
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS HUGELMEYER, D.O., P.C.
Family Medicine
1272 E MAIN ST
RIVERHEAD, NY 11901
Suffolk County (516) 761-2500
LITE STEP PODIATRY WELLNESS, PC
Podiatrist
1272 E MAIN ST
RIVERHEAD, NY 11901
Suffolk County (631) 707-8771
BELLAMY LABORATORIES INC
Clinical Medical Laboratory
1272 E MAIN ST
RIVERHEAD, NY 11901
Suffolk County (631) 284-3793

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 Kayla Provenzano's NPI number?

The NPI number for Kayla Provenzano is 1609599307. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Kayla Provenzano located?

Kayla Provenzano practices at 1272 E Main St, Riverhead, NY 11901. The listed phone number is (631) 284-3797.

What is Kayla Provenzano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kayla Provenzano enrolled in Medicare?

Yes. Kayla Provenzano 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 Kayla Provenzano affiliated with any hospitals?

According to CMS data, Kayla Provenzano is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Kayla Provenzano was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.