1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Physician Assistant
  6. NPI Profile

KYLIE LACERTE PA-C
NPI 1700567815
Physician Assistant in Brooklyn, NY

Active since July 31, 2023PECOS Enrolled
121 DEKALB AVE, BROOKLYN, NY 11201(833) 825-2362 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kylie Lacerte Pa-c NPPES

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

KYLIE LACERTE PA-C (NPI 1700567815) is an individual physician assistant in Brooklyn, New York, licensed in New York (030189) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700567815
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKYLIE LACERTECredential: PA-C
Location Address121 DEKALB AVEBrooklyn, NY 11201-5493
Mailing Address2740 Stellar LoopMyrtle Beach, SC 29577-9002 · (856) 294-7788
Phone(833) 825-2362
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1700567815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 030189
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
121 DEKALB AVE, Brooklyn, NY 11201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Lacerte Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325534621
PECOS Enrollment IDI20260106002863
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 11201 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

EVANGELIA DAVANOS PHARMD, CNSC
Pharmacist (Nutrition Support)
121 DEKALB AVE, B231
BROOKLYN, NY 11201
Kings County (718) 250-8211
MR. KWONG LAU
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000
SAISREE KONDA M.D.
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000
DR. UZOMA N UKOMADU M.D.
Orthopaedic Surgery (Hand Surgery)
121 DEKALB AVE, ORTHOSUITE
BROOKLYN, NY 11201
Kings County (718) 250-7700
DR. MARIANA AVELAR FALCONE DE MELO
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION
BROOKLYN, NY 11201
Kings County (718) 250-6604
SIMONE CARDOSO PT,DPT
Physical Therapist
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8143
MARIE METILAINE ALEXANDRE NURSE PRACTITIONER
Nurse Practitioner (Family)
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8026
DR. JESSIE COLTER FULLMER MD
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000

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 Kylie Lacerte's NPI number?

The NPI number for Kylie Lacerte is 1700567815. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Kylie Lacerte located?

Kylie Lacerte practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (833) 825-2362.

What is Kylie Lacerte's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kylie Lacerte enrolled in Medicare?

Yes. Kylie Lacerte is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kylie Lacerte was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.