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KIMBERLY ANNE KELLY FNP
NPI 1083252878
Nurse Practitioner - Family in Yorktown Heights, NY

Active since December 12, 2019PECOS Enrolled
100/100
CMS Quality Rating
3056 HICKORY ST, YORKTOWN HEIGHTS, NY 10598(516) 729-5405 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2022, Dec 12, 2019 (2 updates tracked since 2019).

About Kimberly Anne Kelly Fnp NPPES

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

KIMBERLY ANNE KELLY FNP (NPI 1083252878) is an individual family provider in Yorktown Heights, New York, licensed in New York (F345081-01) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083252878
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY ANNE KELLYCredential: FNP
Location Address3056 HICKORY STYorktown Heights, NY 10598-2734
Mailing Address3056 Hickory StYorktown Heights, NY 10598-2734 · (516) 729-5405
Phone(516) 729-5405
Sole ProprietorNo
Enumeration DateDecember 12, 2019
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1083252878 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 · F345081-01
3056 HICKORY ST, Yorktown Heights, NY 10598
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

The Westchester Medical Practice, PC
1.7 mi
Specialist
2649 STRANG BLVD STE 304
Yorktown Heights, NY 10598
  • Reassigned Medicare billing, New York enrollment
  • 307 clinicians in this Medicare group
NPI 1225222953 (646) 745-6369
Optum Medical Care, P.C.
8.9 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050
Physiatry Practice Of New York, PC
21 mi
Physical Medicine & Rehabilitation
785 MAMARONECK AVE
White Plains, NY 10605
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group
NPI 1245923317 (877) 749-7428

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
58 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10598 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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 Kimberly Kelly's NPI number?

The NPI number for Kimberly Kelly is 1083252878. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Kimberly Kelly located?

Kimberly Kelly practices at 3056 Hickory St, Yorktown Heights, NY 10598. The listed phone number is (516) 729-5405.

What is Kimberly Kelly's specialty?

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

Is Kimberly Kelly enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kelly reassigns Medicare benefits to 3 organizations: The Westchester Medical Practice, PC (Yorktown Heights, NY), Optum Medical Care, P.C. (Mount Kisco, NY) and Physiatry Practice Of New York, PC (White Plains, 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 Kimberly Kelly'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 Kimberly Kelly was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.