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KEVIN WALTER WIECZENSKI
NPI 1811674278
Nurse Practitioner - Family in Fonda, NY

Active since June 28, 2023PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kevin Walter Wieczenski NPPES

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

KEVIN WALTER WIECZENSKI (NPI 1811674278) is an individual family provider in Fonda, New York, licensed in New York (352281) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Nathan Littauer Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811674278
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEVIN WALTER WIECZENSKI
Location Address46 E MAIN STFonda, NY 12068-4821
Mailing Address99 E State StGloversville, NY 12078-1203 · (518) 725-8621
Phone(518) 773-5308
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1811674278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 352281
46 E MAIN ST, Fonda, NY 12068
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Walter Wieczenski 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 ID5799147617
PECOS Enrollment IDI20230809002612
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 Kevin Wieczenski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nathan Littauer Hospital Association
8.0 mi
Skilled Nursing Facility
99 E STATE ST
Gloversville, NY 12078
  • Reassigned Medicare billing, New York enrollment
  • 79 clinicians in this Medicare group
NPI 1073541850 (518) 725-8621

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

Areas of Expertise CMS Part B claims 4

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.
58 services42 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services26 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330276
Location99 East State StreetGloversville, NY 12078 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12068 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KRISTI LC SEARLES FNP
Nurse Practitioner (Family)
46 E MAIN ST
FONDA, NY 12068
Montgomery County (518) 853-3190
KAITLYN CONWAY DULSKI NP
Nurse Practitioner (Family)
46 E MAIN ST
FONDA, NY 12068
Montgomery County (518) 853-3190
VITINA RUFFINO-MOSHER FNP
Nurse Practitioner (Family)
46 E MAIN ST
FONDA, NY 12068
Montgomery County (518) 853-3190

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 Kevin Wieczenski's NPI number?

The NPI number for Kevin Wieczenski is 1811674278. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Where is Kevin Wieczenski located?

Kevin Wieczenski practices at 46 E Main St, Fonda, NY 12068. The listed phone number is (518) 773-5308.

What is Kevin Wieczenski's specialty?

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

Is Kevin Wieczenski enrolled in Medicare?

Yes. Kevin Wieczenski 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.

Which organization bills Medicare for Kevin Wieczenski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Wieczenski reassigns Medicare benefits to Nathan Littauer Hospital Association (Gloversville, 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 Kevin Wieczenski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kevin Wieczenski affiliated with any hospitals?

According to CMS data, Kevin Wieczenski is affiliated with Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Wieczenski was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.