Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kazell Ann Penalosa, FNP-BC

Individual provider Registered Nurse · NPI 1215695077

Kazell Ann Penalosa, FNP-BC is a Nurse Practitioner in Cornwall, New York. Qualified in 2019, 7 years ago. Practices with Hudson Vista Medical PC, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

19 Laurel Ave
Cornwall, NY 12518-1403
Phone: (845) 534-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 347643 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 684065 (NY)

Record details

NPI number1215695077
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 29, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Hudson Vista Medical Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Cornwall