Individual provider Active NPI

Kim Marie Dinelle, PSYCHIATRIC NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beacon, NY
National Provider Identifier
1326429119
Registry record updated Jun 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401829-1 Issued in NY
Practice address
18 Strack Dr
Beacon, NY 12508-1596
Phone
(845) 831-4800
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401829-1 NY Primary

Addresses

Primary practice location

18 Strack Dr
Beacon, NY 12508-1596

Mailing address

18 Strack Dr
Beacon, NY 12508-1596
Phone (845) 831-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160509001274 NY Practitioner - Nurse Practitioner 0749589000 Reassigns benefits to 2 organizations
I20260403001203 PA Practitioner - Nurse Practitioner 0749589000 Reassigns benefits to 1 organization
I20260403001409 NJ Practitioner - Nurse Practitioner 0749589000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stationmd Professional CorporationGroup PAC ID 6204184104, 64 clinicians
Nysarc Inc Sullivan County ChapterGroup PAC ID 2668473729, 21 clinicians

Practice addresses (Care Compare)

1083 Bloom Rd
Danville, PA 17821-6789
Phone (877) 782-8637

162 E Broadway
Monticello, NY 12701-8815
Phone (845) 796-1350

4885 Route 9
Staatsburg, NY 12580-6028
Phone 9086632929898

515 Valley St
Suite 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929

Hospital & facility affiliations

  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F401829-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc Sullivan County Chapter CurrentSince Jan 1, 2021 Accepting new patients
Stationmd Professional Corporation CurrentSince Apr 10, 2025 Accepting new patients

Locations

515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800

162 E Broadway
Monticello, NY 12701
Phone (845) 796-1350

1435 Route 44
Pleasant Vly, NY 12569
Phone (845) 635-8084

8 Industry St
Poughkeepsie, NY 12603
Phone (845) 471-8876

1083 Bloom Rd
Danville, PA 17821
Phone (570) 764-2636

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435363200000",
    "number": "1326429119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 STRACK DR",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125081596",
            "telephone_number": "845-831-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 STRACK DR",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125081596",
            "telephone_number": "845-831-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINELLE",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "credential": "PSYCHIATRIC NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401829-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

Verify at the official NPI Registry.