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

MS. Kim Axelrad, NPP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1942646104

MS. Kim Axelrad, NPP is a Nurse Practitioner in Coram, New York. Qualified in 2012, 14 years ago. Practices with Welllife Network Inc, a 17-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2013

Practice location Address checks out

3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F4015421 (NY)

Record details

NPI number1942646104
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPP
Sole proprietorNo
NPI enumeratedMay 15, 2013
Last updated in NPPESMay 15, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Welllife Network Inc — 17 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Coram