KATHERINE ROSANGELA QUEZADA
NPI 1952940942
Nurse Practitioner - Adult Health in Port Jefferson, NY
About Katherine Rosangela Quezada NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE ROSANGELA QUEZADA (NPI 1952940942) is an individual adult health provider in Port Jefferson, New York, licensed in New York (309278) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine Rosangela Quezada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katherine Quezada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1467249334 (New York)
- 232 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 Katherine Quezada's NPI number?
The NPI number for Katherine Quezada is 1952940942. It was assigned to this individual provider in the NPPES registry on December 23, 2019.
Where is Katherine Quezada located?
Katherine Quezada practices at 625 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-1320.
What is Katherine Quezada's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Katherine Quezada enrolled in Medicare?
Yes. Katherine Quezada is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katherine Quezada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Quezada reassigns Medicare benefits to John T. Mather Memorial Hospital (Port Jefferson, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Quezada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katherine Quezada was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Katherine Rosangela Quezada · NPI 1952940942
Adult Health physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since December 23, 2019.
## Identity
- **NPI:** 1952940942 (Entity type: Individual)
- **Enumerated:** December 23, 2019
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 309278 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 625 BELLE TERRE RD, Port Jefferson, NY 11777-2316
- **Phone:** (631) 473-1320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** John T. Mather Memorial Hospital (NPI 1104913748, Port Jefferson, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1952940942) · Data from the CMS NPPES public registry.