KELLY LYNNE HEARNE MS, RN, PMHNP-BC
NPI 1003468273
Nurse Practitioner - Psychiatric/Mental Health in Troy, NY

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment
2215 BURDETT AVE, TROY, NY 12180(518) 271-3554 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2022, May 21, 2021, Oct 24, 2019 and 1 more (4 updates tracked since 2019).

About Kelly Lynne Hearne Ms, Rn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LYNNE HEARNE MS, RN, PMHNP-BC (NPI 1003468273) is an individual psychiatric/mental health provider in Troy, New York, licensed in New York (402731) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003468273
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY LYNNE HEARNECredential: MS, RN, PMHNP-BC
Location Address2215 BURDETT AVETroy, NY 12180-2466
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 9, 2019
Last NPPES UpdateApril 4, 20224 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
✔ NPI 1003468273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402731
2215 BURDETT AVE, Troy, NY 12180

Secondary Practice Location 1

Location 1315 S Manning Blvd Ste 6408AAlbany, NY 12208-1707 · Phone (518) 525-1303

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Lynne Hearne Ms, Rn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335571967
PECOS Enrollment IDI20191119002580
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelly Hearne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
Internal Medicine
53 COLUMBIA STREET
Rensselaer, NY 12144
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
Family Medicine
37 FRIAR TUCK WAY
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 127 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
2215 BURDETT AVE, SAMARITAN HOSPITAL - NUTRITION SERVICES
TROY, NY 12180
Internal Medicine
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Psychologist
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
General Acute Care Hospital
2215 BURDETT AVE, SUITE 200
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE
TROY, NY 12180
Occupational Therapist
2215 BURDETT AVE
TROY, NY 12180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Hearne's NPI number?

The NPI number for Kelly Hearne is 1003468273. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Kelly Hearne located?

Kelly Hearne practices at 2215 Burdett Ave, Troy, NY 12180. The listed phone number is (518) 271-3554.

What is Kelly Hearne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Hearne enrolled in Medicare?

Yes. Kelly Hearne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Hearne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hearne reassigns Medicare benefits to 3 organizations: Samaritan Hospital Of Troy, New York (Troy, NY), St. Peter's Hospital Of The City Of Albany (Rensselaer, NY) and Professional Medical Concierge Services, PLLC (Saratoga Springs, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Hearne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Hearne was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.