Kazell Ann Penalosa, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

347643 Issued in NY

Practice address

19 Laurel Ave
Cornwall, NY 12518-1403

Phone

(845) 534-7711

NPI assigned

Nov 29, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hudson Vista Medical PCGroup PAC ID 8628240215, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

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.

• Hudson Vista Medical,PC

  • Internal Medicine Physician
  • Cornwall, NY
  • NPI 1659666840
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Luke'S Cornwall Hospital

  • General Acute Care Hospital
  • Newburgh, NY
  • NPI 1003923434
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1215695077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SICKLES AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601829",
            "telephone_number": "845-367-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAUREL AVE",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181403",
            "telephone_number": "845-534-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALOSA",
        "first_name": "KAZELL ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "684065",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "347643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie F Paquin, OT
• Jacqueline Michele Pardy Ginda, LCSW-R
• Frances Anne Parisi, FNP
• Pelella Apothecary Inc
• John Vincent Pelella, R.PH.
• John Perez
• Kayla Petutis
• Erin Kramer Poole, LCSW
• Kaitlyn Post
• Prestige Physicians Services, PLLC

• Nurse Practitioner in Cornwall, NY
• Providers in Cornwall, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.

Verify at the official NPI Registry.