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KELLY SASS
NPI 1659981470
Nurse Practitioner - Psychiatric/Mental Health in Smithtown, NY

Active since August 06, 2020PECOS Enrolled
11 ROUTE 111, SMITHTOWN, NY 11787(631) 920-8351 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 9, 2020, Sep 25, 2020, Aug 6, 2020 (3 updates tracked since 2020).

About Kelly Sass NPPES

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

KELLY SASS (NPI 1659981470) is an individual psychiatric/mental health provider in Smithtown, New York, licensed in New York (403199) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659981470
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY SASS
Location Address11 ROUTE 111Smithtown, NY 11787-3754
Mailing Address11 Route 111Smithtown, NY 11787-3754 · (631) 920-8351
Phone(631) 920-8351
Sole ProprietorYes
Enumeration DateAugust 6, 2020
Last NPPES UpdateNovember 9, 20203 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1659981470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403199
Also ListedRegistered NurseTaxonomy 163W00000X · License 667614 (NY)
11 ROUTE 111, Smithtown, NY 11787
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Sass is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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 20

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

MR. KEVFOY LENROY FLETCHER MASTERS IN SOCIAL WK
Counselor
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303
STEPHANIE GRANATA
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
LAURA CARRANO
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8306
GAYLE MCCARTHY LCSW
Social Worker (Clinical)
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
VAISHNAVI VADDIGIRI M.D.
Psychiatry & Neurology (Psychiatry)
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
ALICIA MERCADO
Case Manager/Care Coordinator
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8346
AMANDA M COSTA
Case Manager/Care Coordinator
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8303
PAMELA PAGONES
Student in an Organized Health Care Education/Training Program
11 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8306

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 Kelly Sass's NPI number?

The NPI number for Kelly Sass is 1659981470. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Kelly Sass located?

Kelly Sass practices at 11 Route 111, Smithtown, NY 11787. The listed phone number is (631) 920-8351.

What is Kelly Sass's specialty?

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

Is Kelly Sass enrolled in Medicare?

Yes. Kelly Sass is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Sass was last updated on November 9, 2020. 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.