JENNIFER KANALY
NPI 1780045724
Nurse Practitioner - Psychiatric/Mental Health in Peru, NY

Q: What is Jennifer Kanaly's NPI number?

The NPI number for Jennifer Kanaly is 1780045724. It was assigned to this individual provider in the NPPES registry on March 18, 2016.

Q: What is Jennifer Kanaly'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 Jennifer Kanaly was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 18, 2016PECOS EnrolledAccepts Medicare Assignment

287 JOHN BOSWELL RD, PERU, NY 12972(518) 420-2073(518) 763-0895 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2020, Mar 18, 2016 (2 updates tracked since 2016).

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About Jennifer Kanaly NPPES

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

JENNIFER KANALY (NPI 1780045724) is an individual psychiatric/mental health provider in Peru, New York, licensed in New York (40 401976) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780045724

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER KANALY

Location Address287 JOHN BOSWELL RDPeru, NY 12972

Mailing Address75 Beekman StPlattsburgh, NY 12901-1438 · (518) 562-7790

Phone(518) 420-2073

Fax(518) 763-0895

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 18, 2016

Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2020

✔ NPI 1780045724 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

Licenses✔ Licensed in NY · 40 401976✔ Licensed in NY · 401976

287 JOHN BOSWELL RD, Peru, NY 12972

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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 and accepts Medicare assignment

Jennifer Kanaly 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 ID7214228451

PECOS Enrollment IDI20160620001354

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

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 with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

94 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12972 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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 Jennifer Kanaly's NPI number?

The NPI number for Jennifer Kanaly is 1780045724. It was assigned to this individual provider in the NPPES registry on March 18, 2016.

Where is Jennifer Kanaly located?

Jennifer Kanaly practices at 287 John Boswell Rd, Peru, NY 12972. The listed phone number is (518) 420-2073.

What is Jennifer Kanaly's specialty?

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

Is Jennifer Kanaly enrolled in Medicare?

Yes. Jennifer Kanaly 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.

When was this NPI record last updated?

The NPPES record for Jennifer Kanaly was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.