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KETTLY CAZAUBON
NPI 1912549049
Nurse Practitioner - Family in Freeport, NY

Active since October 10, 2019PECOS Enrolled
567 MILLER AVE, FREEPORT, NY 11520(917) 548-8917(949) 695-3560 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2019, Oct 10, 2019 (2 updates tracked since 2019).

About Kettly Cazaubon NPPES

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

KETTLY CAZAUBON (NPI 1912549049) is an individual family provider in Freeport, New York, licensed in New York (345151) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912549049
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKETTLY CAZAUBON
Location Address567 MILLER AVEFreeport, NY 11520-6310
Mailing Address567 Miller AveFreeport, NY 11520-6310 · (917) 548-8917 · Fax (949) 695-3560
Phone(917) 548-8917
Fax(949) 695-3560
Sole ProprietorYes
Enumeration DateOctober 10, 2019
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1912549049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 345151
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 405633 (NY)
567 MILLER AVE, Freeport, NY 11520
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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 (PECOS)

Kettly Cazaubon 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 11520 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

KC HEALTHCARE SERVICES FAMILY HEALTH NURSE PRACTITIONER PLLC
Nurse Practitioner (Family)
567 MILLER AVE
FREEPORT, NY 11520
Nassau County (917) 548-8917

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 Kettly Cazaubon's NPI number?

The NPI number for Kettly Cazaubon is 1912549049. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Kettly Cazaubon located?

Kettly Cazaubon practices at 567 Miller Ave, Freeport, NY 11520. The listed phone number is (917) 548-8917.

What is Kettly Cazaubon's specialty?

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

Is Kettly Cazaubon enrolled in Medicare?

Yes. Kettly Cazaubon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kettly Cazaubon was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.