KATHLYEN MORA - NPI 1861902702 - Nurse Practitioner in New York, NY

Q: What is Kathlyen Mora's NPI number?

The NPI number for Kathlyen Mora is 1861902702. It was assigned to this individual provider in the NPPES registry on October 5, 2017.

Q: What is Kathlyen Mora's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kathlyen Mora was last updated on August 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kathlyen Mora NPPES

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

KATHLYEN MORA (NPI 1861902702) is an individual adult health provider in New York, New York, licensed in New York (F308216) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861902702

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKATHLYEN MORA

Location Address408 W 14TH ST STE 201New York, NY 10014

Mailing Address129 W 29th St Fl 10New York, NY 10001-5105 · (415) 658-6791

Phone(212) 530-0639

Fax(212) 867-4353

Sole ProprietorNo

Enumeration DateOctober 5, 2017

Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration

NPPES CertifiedAugust 5, 2022

✔ NPI 1861902702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F308216

408 W 14TH ST STE 201, New York, NY 10014

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12015 Grand ConcourseBronx, NY 10453-4303 · Phone (718) 299-7295

Location 2632 Broadway PhNew York, NY 10012-2614 · Phone (800) 731-4254

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathlyen Mora 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10014 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 7

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

MR. NATHAN CHRISTOPHER LI PA-C

Physician Assistant (Medical)