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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY KUSIK PA
NPI 1881004984
Physician Assistant - Medical in New York, NY

Active since April 29, 2014PECOS Enrolled
84.47/100
CMS Quality Rating
525 E 68TH ST, NEW YORK, NY 10065(212) 746-5454 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 30, 2026, Jun 6, 2023, Nov 24, 2015 (3 updates tracked since 2015).

About Kelly Kusik Pa NPPES

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

KELLY KUSIK PA (NPI 1881004984) is an individual medical provider in New York, New York, licensed in New York (019058-01) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1881004984
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY KUSIKCredential: PA
Location Address525 E 68TH STNew York, NY 10065-4870
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 955-6450 · Fax (414) 955-0082
Phone(212) 746-5454
Sole ProprietorNo
Enumeration DateApril 29, 2014
Last NPPES UpdateOctober 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1881004984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 019058-01
Also ListedPhysician AssistantTaxonomy 363A00000X · License 3280 (WI)
525 E 68TH ST, New York, NY 10065
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1622 W 168th StNew York, NY 10032-3720 · Phone (212) 305-2500
Location 29200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 955-6450 · Fax (414) 955-0082
Location 355 Palmer AveBronxville, NY 10708-3403 · Phone (914) 787-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Kusik Pa 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

DR. AKILI HINSON M.D.
Surgery
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
ABBY AVGERINOS
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
New York County (610) 742-3894
DR. PAMELA JOAN-YIN TIEU M.D.
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
JENNIFER ANNE SOO HOO MD
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-1500
WEILL MEDICAL COLLEGE OF CORNELL
Specialist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-2846
MS. RACHAEL HALEY BLAIRE PA-C
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
New York County (480) 221-9894
DR. NISHA MEHTA-NAIK M.D.
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
New York County (212) 746-3720
POOJA SHAH SALVI
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065
New York County (646) 962-8413

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 Kusik's NPI number?

The NPI number for Kelly Kusik is 1881004984. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Kelly Kusik located?

Kelly Kusik practices at 525 E 68th St, New York, NY 10065. The listed phone number is (212) 746-5454.

What is Kelly Kusik's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Kusik enrolled in Medicare?

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

What insurance does Kelly Kusik accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelly Kusik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Kusik was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.