KEVIN XUEREB NURSE PRACTITIONER IN PSYCHIATRY
NPI 1639998115
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY

Active since October 10, 2024
12 DONALD PL, STATEN ISLAND, NY 10310(929) 464-0631 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 26, 2025, Oct 10, 2024 (2 updates tracked since 2024).

About Kevin Xuereb Nurse Practitioner In Psychiatry NPPES

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

KEVIN XUEREB NURSE PRACTITIONER IN PSYCHIATRY (NPI 1639998115) is a healthcare organization registered as a psychiatric/mental health in Staten Island, New York and active in the NPI registry since October 2024. The organization lists Kevin Michael Xuereb, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1639998115
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKEVIN XUEREB NURSE PRACTITIONER IN PSYCHIATRY
Location Address12 DONALD PLStaten Island, NY 10310-1615
Mailing Address1885 Hylan BlvdStaten Island, NY 10305-2110 · (929) 464-0631 · Fax (929) 732-2070
Organization SubpartNo
Authorized OfficialKevin Michael XuerebOwner/provider · (929) 464-0631
Enumeration DateOctober 10, 2024
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1639998115 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
12 DONALD PL, Staten Island, NY 10310

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Xuereb Nurse Practitioner In Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevin Xuereb Nurse Practitioner In Psychiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1821790759
1885 HYLAN BLVD # 1179
Staten Island, NY 10305
(917) 359-0193
✔ PECOS✔ Accepts Medicare4.0 mi

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

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 Kevin Xuereb Nurse Practitioner In Psychiatry's NPI number?

The NPI number for Kevin Xuereb Nurse Practitioner In Psychiatry is 1639998115. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is Kevin Xuereb Nurse Practitioner In Psychiatry located?

Kevin Xuereb Nurse Practitioner In Psychiatry is located at 12 Donald Pl, Staten Island, NY 10310. The listed phone number is (929) 464-0631.

What is Kevin Xuereb Nurse Practitioner In Psychiatry's specialty?

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

Is Kevin Xuereb Nurse Practitioner In Psychiatry enrolled in Medicare?

Yes. Kevin Xuereb Nurse Practitioner In Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kevin Xuereb Nurse Practitioner In Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kevin Xuereb Nurse Practitioner In Psychiatry. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Xuereb Nurse Practitioner In Psychiatry was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.