KATIE CANNAMELA
NPI 1730807074
Nurse Practitioner - Psychiatric/Mental Health in Amityville, NY

Q: What is Katie Cannamela's NPI number?

The NPI number for Katie Cannamela is 1730807074. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Katie Cannamela's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Cannamela was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 22, 2022PECOS Enrolled

400 SUNRISE HWY, AMITYVILLE, NY 11701(516) 474-1596 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2022, Aug 22, 2022 (2 updates tracked since 2022).

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About Katie Cannamela NPPES

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

KATIE CANNAMELA (NPI 1730807074) is an individual psychiatric/mental health provider in Amityville, New York, licensed in New York (404395) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730807074

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKATIE CANNAMELA

Location Address400 SUNRISE HWYAmityville, NY 11701-2508

Mailing AddressPo Box 337Plainview, NY 11803-0337

Phone(516) 474-1596

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 22, 2022

Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration

NPPES CertifiedOctober 4, 2022

✔ NPI 1730807074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 404395

400 SUNRISE HWY, Amityville, NY 11701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8325569957

PECOS Enrollment IDI20250311002781

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.

Medicare Billing Reassignment

Medicare enrollment records show Katie Cannamela reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Long Island Home

Same address

Psychiatric Hospital

400 SUNRISE HWY
Amityville, NY 11701

Reassigned Medicare billing, New York enrollment
123 clinicians in this Medicare group

NPI 1568459204 (631) 264-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11701 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.

VICTORIA LYN SPAHN

Counselor (Professional)