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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: October 18, 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, maintains a secondary practice location in Huntington Station, 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
Phone(631) 474-8099
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
Open in Google Maps ↗

Secondary Practice Location 1

Location 133 Walt Whitman Rd Ste 217WHuntington Station, NY 11746-3640 · Phone (631) 474-8099

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Kocka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Island Psychiatry PC
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
No phone listed

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

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.

MS. SANDY J JOHNSON LMFT
Marriage & Family Therapist
55 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 871-8454
MRS. CYNTHIA LYNN FISCHER LCSW
Social Worker (Clinical)
55 NESCONSET HWY
PORT JEFF STA, NY 11776
Suffolk County (631) 472-5998
NICOLAS CERNIGLIA
Nurse Practitioner (Psychiatric/Mental Health)
55 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 474-8099
KENNETH A SCHREIBER M.D.
Psychiatry & Neurology (Psychiatry)
55 NESCONSET HWY, SUITE 4
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 928-8331
EILEEN J MCCORMICK M.A.,LMHC,CT
Counselor (Mental Health)
55 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 561-9762
LI ANXIETY CARE
Psychologist (Cognitive & Behavioral)
55 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 509-0601
MS. GRACE R DERIGGI LMHC, LMFT
Marriage & Family Therapist
55 NESCONSET HWY, SUITE #3
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 793-6079
DR. RANDALL SOLOMON
Psychiatry & Neurology (Psychiatry)
55 NESCONSET HWY, SUITE 1
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 474-8099

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.

Which organization bills Medicare for Nicole Kocka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kocka reassigns Medicare benefits to Island Psychiatry PC (NY). The 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 Nicole Kocka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 5 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.