Kelly Ann Antimisiaris, - Nurse Practitioner in Massapequa, NY

Kelly Ann Antimisiaris, is a Nurse Practitioner - Psychiatric/mental Health based in Massapequa, New York. Kelly Ann Antimisiaris is licensed to practice in New York (license number 405343) and her current practice location is 5550 Merrick Rd, Massapequa, New York. She can be reached at her office (for appointments etc.) via phone at (631) 773-1096.

NPI number for Kelly Ann Antimisiaris is 1265213797 and her current mailing address is 5550 Merrick Rd, Massapequa, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265213797.

Contact Information

Kelly Ann Antimisiaris,
5550 Merrick Rd,
Massapequa, NY 11758-6238
(631) 773-1096
Not Available

Map and Direction




Provider's Profile

Full NameKelly Ann Antimisiaris
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5550 Merrick Rd, Massapequa, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265213797
  • Provider Enumeration Date: 10/10/2023
  • Last Update Date: 10/10/2023

Medical Identifiers

Medical identifiers for Kelly Ann Antimisiaris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265213797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 405343 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ann Antimisiaris is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Ann Antimisiaris,
5550 Merrick Rd,
Massapequa, NY 11758-6238

Ph: () -
Kelly Ann Antimisiaris,
5550 Merrick Rd,
Massapequa, NY 11758-6238

Ph: (631) 773-1096

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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