MS. KIM AXELRAD NPP
NPI 1942646104
Nurse Practitioner - Psychiatric/Mental Health in Coram, NY

Q: What is Kim Axelrad's NPI number?

The NPI number for Kim Axelrad is 1942646104. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Q: What is Kim Axelrad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kim Axelrad was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 15, 2013PECOS Enrolled

3600 ROUTE 112, CORAM, NY 11727(631) 920-8500 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Kim Axelrad Npp NPPES

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

MS. KIM AXELRAD NPP (NPI 1942646104) is an individual psychiatric/mental health provider in Coram, New York, licensed in New York (F4015421) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1942646104

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. KIM AXELRADCredential: NPP

Location Address3600 ROUTE 112Coram, NY 11727-4116

Mailing Address3600 Route 112Coram, NY 11727-4116 · (631) 920-8500

Phone(631) 920-8500

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 15, 2013

✔ NPI 1942646104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F4015421

3600 ROUTE 112, Coram, NY 11727

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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)

Ms. Kim Axelrad Npp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638499536

PECOS Enrollment IDI20150515001725

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.

Areas of Expertise CMS Part B claims 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

425 services46 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11727 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.

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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.

RAQUEL FERNANDES

Counselor (Mental Health)