KELLY MANTIA NP
NPI 1679258222
Nurse Practitioner - Family in Cedarhurst, NY

Active since June 21, 2023PECOS EnrolledAccepts Medicare Assignment
650 CENTRAL AVE, CEDARHURST, NY 11516(516) 340-0702 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2023, Jun 21, 2023 (2 updates tracked since 2023).

About Kelly Mantia Np NPPES

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

KELLY MANTIA NP (NPI 1679258222) is an individual family provider in Cedarhurst, New York, licensed in New York (352247) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Massapequa Park, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679258222
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MANTIACredential: NP
Location Address650 CENTRAL AVECedarhurst, NY 11516-2301
Mailing Address133 Ocean AveMassapequa Park, NY 11762-2323 · (718) 812-4774
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 21, 2023
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1679258222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 352247
650 CENTRAL AVE, Cedarhurst, NY 11516

Secondary Practice Location 1

Location 1133 Ocean AveMassapequa Park, NY 11762-2323 · Phone (718) 812-4774

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Mantia 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 ID5799139754
PECOS Enrollment IDI20230925001214
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 17

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 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.
42 services40 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services38 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
26 services25 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
23 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services20 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11516 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 18

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

Family Medicine (Adult Medicine)
650 CENTRAL AVE, SUITE A
CEDARHURST, NY 11516
Dentist (General Practice)
650 CENTRAL AVE
CEDARHURST, NY 11516
Dentist (Orthodontics and Dentofacial Orthopedics)
650 CENTRAL AVE
CEDARHURST, NY 11516
Psychologist (Clinical)
650 CENTRAL AVE, SUITE H
CEDARHURST, NY 11516
Psychologist
650 CENTRAL AVE
CEDARHURST, NY 11516
Internal Medicine (Cardiovascular Disease)
650 CENTRAL AVE, SUTIE K
CEDARHURST, NY 11516
Family Medicine
650 CENTRAL AVE, SUITE A
CEDARHURST, NY 11516
Nurse Practitioner (Adult Health)
650 CENTRAL AVE
CEDARHURST, NY 11516

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 Mantia's NPI number?

The NPI number for Kelly Mantia is 1679258222. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Kelly Mantia located?

Kelly Mantia practices at 650 Central Ave, Cedarhurst, NY 11516. The listed phone number is (516) 340-0702.

What is Kelly Mantia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Mantia enrolled in Medicare?

Yes. Kelly Mantia 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.

When was this NPI record last updated?

The NPPES record for Kelly Mantia was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.