Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEZIAH BAIN
NPI 1760309959
Nurse Practitioner - Family in Bronx, NY

Active since June 30, 2026PECOS Enrolled
1894 WALTON AVE, BRONX, NY 10453(718) 583-9000 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Aug 13, 2026 (2 updates tracked since 2026).

About Keziah Bain NPPES

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

KEZIAH BAIN (NPI 1760309959) is an individual family provider in Bronx, New York, licensed in New York (360755) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1760309959
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEZIAH BAIN
Location Address1894 WALTON AVEBronx, NY 10453-6018
Mailing Address405 Pacific TrceEllenwood, GA 30294-4526 · (404) 960-6934
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 30, 2026
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1760309959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 360755
Also ListedRegistered NurseTaxonomy 163W00000X · License N37113-01 (NY)
1894 WALTON AVE, Bronx, NY 10453

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7719447093
PECOS Enrollment IDI20260905000192
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 Keziah Bain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1894 WALTON AVE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 347 clinicians in this Medicare group

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 10453 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.

Nurse Practitioner (Family)
1894 WALTON AVE
BRONX, NY 10453
Nurse Practitioner (Family)
1894 WALTON AVE
BRONX, NY 10453
Dentist
1894 WALTON AVE
BRONX, NY 10453
Family Medicine
1894 WALTON AVE
BRONX, NY 10453
Family Medicine
1894 WALTON AVE
BRONX, NY 10453
Family Medicine
1894 WALTON AVE
BRONX, NY 10453
Social Worker (Clinical)
1894 WALTON AVE
BRONX, NY 10453
Nurse Practitioner (Family)
1894 WALTON AVE
BRONX, NY 10453

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 Keziah Bain's NPI number?

The NPI number for Keziah Bain is 1760309959. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Keziah Bain located?

Keziah Bain practices at 1894 Walton Ave, Bronx, NY 10453. The listed phone number is (718) 583-9000.

What is Keziah Bain's specialty?

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

Is Keziah Bain enrolled in Medicare?

Yes. Keziah Bain is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keziah Bain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keziah Bain reassigns Medicare benefits to The Institute For Family Health (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keziah Bain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keziah Bain was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.