KATHERINE ROSE HILES PMHNP-BC
NPI 1790306579
Nurse Practitioner - Psychiatric/Mental Health in Albany, NY

Active since May 03, 2020PECOS Enrolled
315 S MANNING BLVD, ALBANY, NY 12208(518) 525-1306 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2021, Jan 5, 2021, Dec 28, 2020 (3 updates tracked since 2020).

About Katherine Rose Hiles Pmhnp-bc NPPES

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

KATHERINE ROSE HILES PMHNP-BC (NPI 1790306579) is an individual psychiatric/mental health provider in Albany, New York, licensed in New York (402928) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1790306579
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHERINE ROSE HILESCredential: PMHNP-BC
Location Address315 S MANNING BLVDAlbany, NY 12208-1707
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Sole ProprietorNo
Enumeration DateMay 3, 2020
Last NPPES UpdateMay 27, 20213 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1790306579 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 · 402928
315 S MANNING BLVD, Albany, NY 12208

Secondary Practice Locations 4

Location 11300 Massachusetts AveTroy, NY 12180-1628 · Phone (518) 268-5542
Location 22215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3554
Location 33 Mercycare LnGuilderland, NY 12084-3504 · Phone (518) 452-6700
Location 455 Mohawk St Ste 100Cohoes, NY 12047-2600 · Phone (518) 235-1100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Rose Hiles Pmhnp-bc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine Hiles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
315 SOUTH MANNING BLVD, SUITE 6512
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 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 12208 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.

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.

Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Emergency Response System Companies
315 S MANNING BLVD
ALBANY, NY 12208
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Radiology (Diagnostic Radiology)
315 S MANNING BLVD
ALBANY, NY 12208
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208

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 Katherine Hiles's NPI number?

The NPI number for Katherine Hiles is 1790306579. It was assigned to this individual provider in the NPPES registry on May 3, 2020.

Where is Katherine Hiles located?

Katherine Hiles practices at 315 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 525-1306.

What is Katherine Hiles's specialty?

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

Is Katherine Hiles enrolled in Medicare?

Yes. Katherine Hiles is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Hiles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Hiles reassigns Medicare benefits to 2 organizations: St. Peter's Hospitalof The City Of Albany (Albany, NY) and Samaritan Hospital Of Troy, New York (Troy, NY). Each 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 Katherine Hiles'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 Katherine Hiles was last updated on May 27, 2021. 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.