Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellyann Patricia Civiletti, AGPCNP-BC

Individual provider Registered Nurse · NPI 1770034373

Kellyann Patricia Civiletti, AGPCNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2016, 10 years ago. Practices with Chess Medicine PLLC, a 15-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

403 E 34th St Fl 3
New York, NY 10016-4972
Phone: (212) 263-8134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 308012 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 646983 (NY)

Record details

NPI number1770034373
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedOctober 18, 2016
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Chess Medicine Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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