Kellie Leveille, NP-C, CNM

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

341621 Issued in NY

Practice address

160 N Midland Ave
Nyack, NY 10960-1912

Phone

(845) 348-2550

NPI assigned

Jun 21, 2017

Last updated

Apr 13, 2023By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, TX3 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

Specialty

Certified Nurse Midwife (CNM)

Education

State University of New York Downstate Medical Center, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Plains Medical Diagnostic Services, PCGroup PAC ID 5395918932, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hopi Health Care Center Hospital, Polacca, AZ, CCN 031305

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kleveille881779@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Plains Medical Diagnostic Services, PC

  • Internal Medicine Physician
  • Nyack, NY
  • NPI 1689955338
  Medicare reassignment Care Compare group NPD
• Highland Medical P.C.

  • General Practice Physician
  • Nyack, NY
  • NPI 1376600304
  Medicare reassignment NPD
• Montefiore Nyack Hospital

  • Neurology Physician
  • Nyack, NY
  • NPI 1073881835
  Medicare reassignment NPD
• DHHS IHS Phoenix Area

  dba Hopi Health Care Center

  • Critical Access Hospital
  • Polacca, AZ
  • NPI 1356628028

  TX

  Medicare reassignment NPD
• Restoredhealth LLC

  • Registered Nurse First Assistant
  • Blauvelt, NY
  • NPI 1245866045

  Family

  NPD Authorized official
• Village Health Family NP PLLC

  • Health Service Clinic/Center
  • Blauvelt, NY
  • NPI 1043885643
  Authorized official Same address or phone
• Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
  • NPI 1104808062
  NPD

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1811417710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109130047",
            "telephone_number": "772-834-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Western Hwy # Heys",
            "address_purpose": "LOCATION",
            "city": "Blauvelt",
            "state": "NY",
            "postal_code": "109131336",
            "country_code": "US",
            "telephone_number": "845-445-8501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVEILLE",
        "first_name": "KELLIE",
        "credential": "NP-C, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-04-13",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Na",
            "affiliation": "N",
            "address_1": "545 Western Hwy # Heys",
            "city": "Blauvelt",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109131336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy Lehey, CRNA
• Tova Lehmann, PT
• Rebecca Leland, PHD
• Marcie J Leon-Doyle
• Jamie Lettre
• Alan Levin
• Donald Todd Levine, M.D.
• Michael Levy, M.D.
• Neal Steven Levy, MSW, LCSW
• Stephen Jay Levy, PH.D.

• Family Nurse Practitioner in Nyack, NY
• Providers in Nyack, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.