KOUSILLA CHEUNG NP
NPI 1649055922
Nurse Practitioner - Psychiatric/Mental Health in Utica, NY

Active since August 25, 2023PECOS EnrolledAccepts Medicare Assignment
628 MARY ST # A, UTICA, NY 13501(315) 272-2600 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2025, Aug 25, 2023 (2 updates tracked since 2023).

About Kousilla Cheung Np NPPES

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

KOUSILLA CHEUNG NP (NPI 1649055922) is an individual psychiatric/mental health provider in Utica, New York, licensed in New York (F405186) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1649055922
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKOUSILLA CHEUNGCredential: NP
Location Address628 MARY ST # AUtica, NY 13501-2419
Mailing Address418 Broadway Ste NAlbany, NY 12207-2922
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2023
Enumeration DateAugust 25, 2023
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1649055922 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 · F405186
628 MARY ST # A, Utica, NY 13501

Secondary Practice Location 1

Location 1418 Broadway Ste NAlbany, NY 12207-2922 · Phone (646) 436-6482

Accepted Insurance

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

Kousilla Cheung Np 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 ID5294183638
PECOS Enrollment IDI20231127001100
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

4

Medicare enrollment records show Kousilla Cheung reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
628 MARY ST
Utica, NY 13501
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
Psychiatry
220 5TH AVE FL 11
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Rjb Medical, PC
  • 2 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13501 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Kousilla Cheung's NPI number?

The NPI number for Kousilla Cheung is 1649055922. It was assigned to this individual provider in the NPPES registry on August 25, 2023.

Where is Kousilla Cheung located?

Kousilla Cheung practices at 628 Mary St # A, Utica, NY 13501. The listed phone number is (315) 272-2600.

What is Kousilla Cheung's specialty?

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

Is Kousilla Cheung enrolled in Medicare?

Yes. Kousilla Cheung 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 Kousilla Cheung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kousilla Cheung reassigns Medicare benefits to 4 organizations: The Neighborhood Center, Inc. (Utica, NY), Essen Medical Associates, PC (Bronx, NY), Essen Medical Urgicare, PLLC (Bronx, NY) and Rjb Medical, P.C. (New York, 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 Kousilla Cheung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kousilla Cheung accept?

Health plans from Harbor Health, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Kousilla Cheung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kousilla Cheung affiliated with any hospitals?

According to CMS data, Kousilla Cheung is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Kousilla Cheung was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.