Kevin Michael Xuereb, PMHNP BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

404853 Issued in NY

Practice address

1885 Hylan Blvd # 1179
Staten Island, NY 10305-2110

Phone

(917) 359-0193

NPI assigned

Mar 22, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kevin Xuereb Nurse Practitioner in Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Staten Island, NY
  • NPI 1639998115
  Medicare reassignment NPD Authorized official
• Tenafly Psychiatric Associates, L.L.C.

  • Psychiatry Physician
  • Tenafly, NJ
  • NPI 1821063835
  Medicare reassignment NPD
• Jay Lawrence Friedman, M.D., L.L.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1881829109
  NPD

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1821790759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 HYLAN BLVD # 1179",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052110",
            "telephone_number": "917-359-0193",
            "fax_number": "929-732-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 HYLAN BLVD # 1179",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052110",
            "telephone_number": "917-359-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XUEREB",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "PMHNP BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shimin Xie, LAC
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• Luna Xu, M.D.
• Wei Xue
• Y a Anesthesia Pain Management PLLC
• Y Miller LMSW Services
• Y.M.C.a
• Ya-Tseng William Lu, M.D., PLLC
• Dikshya Yadav

• Psychiatric/Mental Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.