NICOLE KOCKA PMHNP
NPI 1659047314
Nurse Practitioner - Psychiatric/Mental Health in Port Jefferson Station, NY

Active since August 20, 2021PECOS Enrolled
55 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776(631) 474-8099 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2021, Aug 20, 2021 (2 updates tracked since 2021).

About Nicole Kocka Pmhnp NPPES

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

NICOLE KOCKA PMHNP (NPI 1659047314) is an individual psychiatric/mental health provider in Port Jefferson Station, New York, licensed in New York (403643) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659047314
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE KOCKACredential: PMHNP
Location Address55 NESCONSET HWYPort Jefferson Station, NY 11776-2631
Mailing Address55 Nesconset Hwy Ste 1Port Jefferson Station, NY 11776-2631
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 20, 2021
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
NPI 1659047314 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 · 403643
55 NESCONSET HWY, Port Jefferson Station, NY 11776

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Kocka Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840689378
PECOS Enrollment IDI20211122002706
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
192 services39 patients
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.
23 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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 10

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

Marriage & Family Therapist
55 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
55 NESCONSET HWY
PORT JEFF STA, NY 11776
Nurse Practitioner (Psychiatric/Mental Health)
55 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Psychiatry & Neurology (Psychiatry)
55 NESCONSET HWY, SUITE 4
PORT JEFFERSON STATION, NY 11776
Counselor (Mental Health)
55 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Psychologist (Cognitive & Behavioral)
55 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Marriage & Family Therapist
55 NESCONSET HWY, SUITE #3
PORT JEFFERSON STATION, NY 11776
Psychiatry & Neurology (Psychiatry)
55 NESCONSET HWY, SUITE 1
PORT JEFFERSON STATION, NY 11776

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 Nicole Kocka's NPI number?

The NPI number for Nicole Kocka is 1659047314. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Nicole Kocka located?

Nicole Kocka practices at 55 Nesconset Hwy, Port Jefferson Station, NY 11776. The listed phone number is (631) 474-8099.

What is Nicole Kocka's specialty?

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

Is Nicole Kocka enrolled in Medicare?

Yes. Nicole Kocka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Kocka was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.