KADAJDRA DUCKETT RPA-C
NPI 1730200502
Physician Assistant in Smithtown, NY

Q: What is Kadajdra Duckett's NPI number?

The NPI number for Kadajdra Duckett is 1730200502. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Kadajdra Duckett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kadajdra Duckett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 02, 2007PECOS Enrolled

70 MAPLE AVE, SMITHTOWN, NY 11787(631) 240-1111(631) 361-7678 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kadajdra Duckett Rpa-c NPPES

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

KADAJDRA DUCKETT RPA-C (NPI 1730200502) is an individual physician assistant in Smithtown, New York, licensed in New York (005006) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730200502

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKADAJDRA DUCKETTCredential: RPA-C

Location Address70 MAPLE AVESmithtown, NY 11787-3502

Mailing Address70 Maple AveSmithtown, NY 11787-3502 · (631) 240-1111 · Fax (631) 361-7678

Phone(631) 240-1111

Fax(631) 361-7678

Sole ProprietorNo

Enumeration DateApril 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730200502 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 · 005006

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.

70 MAPLE AVE, 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)

Kadajdra Duckett Rpa-c 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

$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 13

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

SHERIFAT O MUSA WHNP

Nurse Practitioner (Women's Health)