Active NPI
Kylie Morgan Monacelli, PA-C
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 026578
- Practice address
- 177 Fort Washington Ave
New York, NY 10032-3733 - Phone
- (646) 317-3188
- NPI assigned
- Jun 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA | ||
| Physician Assistant | 363A00000X | NY | ||
| Physician Assistant | 363A00000X | 026578 | NY | Primary |
Addresses
Primary practice location
177 Fort Washington Ave
New York, NY 10032-3733
Mailing address
607 E Scott St
Olyphant, PA 18447-1964
Phone (570) 445-1741
Other practice location 1
161 Fort Washington Ave
New York, NY 10032-3729
Phone (212) 305-5098
Other practice location 2
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone (570) 808-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone (570) 826-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026578 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Physician Assistant | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090
100 N Academy Ave
Danville, PA 17822
1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- kmv9005@direct.nyp.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Physician Assistant
-
- Pediatrics Physician
- Scranton, PA
- NPI 1952995482
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1194341602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 E SCOTT ST",
"city": "OLYPHANT",
"state": "PA",
"postal_code": "184471964",
"telephone_number": "570-445-1741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323733",
"telephone_number": "646-317-3188"
}
],
"practiceLocations": [
{
"address_1": "161 Fort Washington Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323729",
"country_code": "US",
"telephone_number": "212-305-5098",
"fax_number": "212-305-0591",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E Mountain Blvd",
"address_purpose": "LOCATION",
"city": "Wilkes Barre",
"state": "PA",
"postal_code": "187110027",
"country_code": "US",
"telephone_number": "570-808-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONACELLI",
"first_name": "KYLIE",
"middle_name": "MORGAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-20",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "026578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.