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KELLY ATWELL GREENWOOD
NPI 1881428969
Physician Assistant in New Hyde Park, NY

Active since August 29, 2024PECOS EnrolledAccepts Medicare Assignment
112 MADISON AVE, NEW HYDE PARK, NY 11040(516) 343-2668 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Atwell Greenwood NPPES

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

KELLY ATWELL GREENWOOD (NPI 1881428969) is an individual physician assistant in New Hyde Park, New York and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1881428969
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY ATWELL GREENWOOD
Location Address112 MADISON AVENew Hyde Park, NY 11040-5229
Mailing Address27 Smithtown Polk BlvdCentereach, NY 11720-3248
Phone(516) 343-2668
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 29, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1881428969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
112 MADISON AVE, New Hyde Park, NY 11040
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Atwell Greenwood 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 ID1052824281
PECOS Enrollment IDI20250701002774
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.

Hospital Affiliations CMS Care Compare 5

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Plainview Hospital

Acute Care Hospitals · Plainview, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330331
Location888 Old Country RoadPlainview, NY 11803 · Nassau County
Emergency services

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 2

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

TORI BROOKE GUARDINO PA
Physician Assistant
112 MADISON AVE
NEW HYDE PARK, NY 11040
Nassau County (845) 430-9941
MARCI CHOI
Physician Assistant
112 MADISON AVE
GARDEN CITY PARK, NY 11040
Nassau County (516) 343-2668

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 Atwell Greenwood's NPI number?

The NPI number for Kelly Atwell Greenwood is 1881428969. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Where is Kelly Atwell Greenwood located?

Kelly Atwell Greenwood practices at 112 Madison Ave, New Hyde Park, NY 11040. The listed phone number is (516) 343-2668.

What is Kelly Atwell Greenwood's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Atwell Greenwood enrolled in Medicare?

Yes. Kelly Atwell Greenwood 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.

Is Kelly Atwell Greenwood affiliated with any hospitals?

According to CMS data, Kelly Atwell Greenwood is affiliated with North Shore University Hospital, Northwell Hospital Glen Cove, Plainview Hospital, Chsli St Joseph Hospital and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Atwell Greenwood was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.