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MR. KELLY HILAIRE FNP
NPI 1043883572
Nurse Practitioner - Family in Queens Village, NY

Active since July 22, 2021PECOS Enrolled
11358 212TH ST, QUEENS VILLAGE, NY 11429(718) 954-3553(877) 762-6647 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2026, May 21, 2026, Sep 15, 2025 and 3 more (6 updates tracked since 2021).

About Mr. Kelly Hilaire Fnp NPPES

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

MR. KELLY HILAIRE FNP (NPI 1043883572) is an individual family provider in Queens Village, New York, licensed in New York (347853) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hempstead, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043883572
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KELLY HILAIRECredential: FNP
Location Address11358 212TH STQueens Village, NY 11429-2312
Mailing Address11944 218th StCambria Heights, NY 11411-1911 · (718) 954-3553 · Fax (877) 762-6647
Phone(718) 954-3553
Fax(877) 762-6647
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 22, 2021
Last NPPES UpdateAugust 13, 20266 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1043883572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 347853
11358 212TH ST, Queens Village, NY 11429
Open in Google Maps ↗

Secondary Practice Location 1

Location 1230 Hilton Ave Ste 105Hempstead, NY 11550-8116 · Phone (718) 954-3553 · Fax (877) 762-6647

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kelly Hilaire Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961800529
PECOS Enrollment IDI20211012001982
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 Hilaire reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Vine Np Family Health, PLLC
Same address
Family
11358 212TH ST
Queens Village, NY 11429
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1154078335 (718) 954-3553
Essen Medical Associates,pc
1.2 mi
Legal Medicine
19544 WOODHULL AVE
Jamaica, NY 11423
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1700023926 (718) 740-3500
Lagrangeville Medical PC
3.5 mi
Internal Medicine
71 FRANKLIN AVE
Franklin Square, NY 11010
  • Reassigned Medicare billing, New York enrollment
  • 45 clinicians in this Medicare group
NPI 1861153322 (212) 404-0362

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 11429 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 4

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

THE VINE NP FAMILY HEALTH, PLLC
Nurse Practitioner (Family)
11358 212TH ST
QUEENS VILLAGE, NY 11429
Queens County (718) 954-3553
YDENS JEAN VALEUS MD
Internal Medicine
11358 212TH ST
QUEENS VILLAGE, NY 11429
Queens County (475) 329-9504
MARLIE HILAIRE FNP
Nurse Practitioner (Family)
11358 212TH ST
QUEENS VILLAGE, NY 11429
Queens County (718) 954-3553
VALEUS MEDICAL GROUP
Internal Medicine
11358 212TH ST
QUEENS VILLAGE, NY 11429
Queens County (475) 329-9504

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 Hilaire's NPI number?

The NPI number for Kelly Hilaire is 1043883572. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is Kelly Hilaire located?

Kelly Hilaire practices at 11358 212th St, Queens Village, NY 11429. The listed phone number is (718) 954-3553.

What is Kelly Hilaire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Hilaire enrolled in Medicare?

Yes. Kelly Hilaire is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Hilaire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hilaire reassigns Medicare benefits to 3 organizations: The Vine Np Family Health, PLLC (Queens Village, NY), Essen Medical Associates,pc (Jamaica, NY) and Lagrangeville Medical PC (Franklin Square, 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 Hilaire'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 Hilaire was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.