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KELLY JANE NASIATKA
NPI 1790450617
Audiologist in Bronx, NY

Active since August 12, 2021
1065 SOUTHERN BLVD, BRONX, NY 10459(718) 589-2440 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 4, 2026, Aug 12, 2021 (2 updates tracked since 2021).

About Kelly Jane Nasiatka NPPES

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

KELLY JANE NASIATKA (NPI 1790450617) is an individual audiologist in Bronx, New York, licensed in New York (003053) and active in the NPI registry since August 2021. She maintains a secondary practice location in Eden Prairie.

NPPES Registry Identity

NPI1790450617
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameKELLY JANE NASIATKA
Location Address1065 SOUTHERN BLVDBronx, NY 10459-2417
Mailing Address1065 Southern BlvdBronx, NY 10459-2417 · (718) 589-2440
Phone(718) 589-2440
Sole ProprietorNo
Enumeration DateAugust 12, 2021
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1790450617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in NY · 003053
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1065 SOUTHERN BLVD, Bronx, NY 10459
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Secondary Practice Location 1

Location 16700 Washington Ave SEden Prairie, MN 55344-3405 · Phone (516) 785-3292

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jane Nasiatka is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Northland Hearing Centers, Inc.
98 mi
Audiologist-Hearing Aid Fitter
67 PROSPECT AVE
Hudson, NY 14550
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1083947063 (518) 822-9777

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

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.

SARAH VANEGAS
Social Worker
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (516) 587-9445
MS. CHRISTINA CAMACHO
Nutritionist
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
DR. RACQUEL K MILLWOOD PSY.D.
Psychologist (Clinical)
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
DR. MARIA DELIA CROSBY AGPCNP-BC
Nurse Practitioner (Adult Health)
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
GLORIA RODRIGUEZ FNP
Nurse Practitioner (Family)
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
CHELSEA ALONZO ACEBO PA-C
Physician Assistant
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
HEATHER MOSTBERGER
Social Worker
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
YOHANNA FILPO DENTAL HYGENIST
Dental Hygienist
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440

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 Nasiatka's NPI number?

The NPI number for Kelly Nasiatka is 1790450617. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Kelly Nasiatka located?

Kelly Nasiatka practices at 1065 Southern Blvd, Bronx, NY 10459. The listed phone number is (718) 589-2440.

What is Kelly Nasiatka's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Kelly Nasiatka enrolled in Medicare?

Yes. Kelly Nasiatka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Nasiatka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Nasiatka reassigns Medicare benefits to Northland Hearing Centers, Inc. (Hudson, 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 Kelly Nasiatka'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 Kelly Nasiatka was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.