KELLY ANN LEVINE P.A.
NPI 1730475278
Physician Assistant in Mineola, NY

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
200 OLD COUNTRY ROAD, MINEOLA, NY 11501(516) 294-5440(516) 294-1206 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Ann Levine P.a. NPPES

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

KELLY ANN LEVINE P.A. (NPI 1730475278) is an individual physician assistant in Mineola, New York, licensed in New York (009741-1) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2003).

NPPES Registry Identity

NPI1730475278
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY ANN LEVINECredential: P.A.
Location Address200 OLD COUNTRY ROADMineola, NY 11501
Mailing Address200 Old Country Rd, Suite 365Mineola, NY 11501-4235 · (516) 294-5440 · Fax (516) 294-1206
Fax(516) 294-1206
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2003
Enumeration DateJune 23, 2011
Last NPPES UpdateFebruary 12, 2021
NPPES CertifiedFebruary 12, 2021
NPI 1730475278 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 · 009741-1
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.

200 OLD COUNTRY ROAD, Mineola, NY 11501

Other Names 1

Former Name (1)Kelly Ann Burke P.a.

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 Ann Levine P.a. 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 ID6002891520
PECOS Enrollment IDI20040709000712
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 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, 20-29 minutes 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.
47 services42 patients
Collection of blood sample from central venous tube 36592
The collection of a blood sample from a central venous tube is a procedure where a small amount of blood is drawn from a tube inserted into a large vein in your chest, neck, or groin. This method is often used for accurate testing when frequent or large-volume samples are needed. It's usually painless, as the tube is already in place.
22 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 3

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

Dermatology
200 OLD COUNTRY ROAD, STE 140
MINEOLA, NY 11501
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
200 OLD COUNTRY ROAD
MINEOLA, NY 11501
Internal Medicine
200 OLD COUNTRY ROAD, STE 370
MINEOLA, NY 11501

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 Levine's NPI number?

The NPI number for Kelly Levine is 1730475278. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Kelly Levine located?

Kelly Levine practices at 200 Old Country Road, Mineola, NY 11501. The listed phone number is (516) 294-5440.

What is Kelly Levine's specialty?

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

Is Kelly Levine enrolled in Medicare?

Yes. Kelly Levine 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.

Is Kelly Levine affiliated with any hospitals?

According to CMS data, Kelly Levine is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Kelly Levine was last updated on February 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.