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TENESHA SHANTA KELLY-ROBERTS FNP-C
NPI 1114733417
Nurse Practitioner - Family in New York, NY

Active since December 10, 2024PECOS Enrolled
1468 MADISON AVE, NEW YORK, NY 10029(212) 241-1314 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2026, Dec 10, 2024 (2 updates tracked since 2024).

About Tenesha Shanta Kelly-roberts Fnp-c NPPES

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

TENESHA SHANTA KELLY-ROBERTS FNP-C (NPI 1114733417) is an individual family provider in New York, New York, licensed in New York (F355613-01) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114733417
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTENESHA SHANTA KELLY-ROBERTSCredential: FNP-C
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address10 Wisteria Dr Apt 3cFords, NJ 08863-1130 · (917) 742-8669
Phone(212) 241-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 10, 2024
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1114733417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F355613-01
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 491143 (NY)
1468 MADISON AVE, New York, NY 10029
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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)

Tenesha Shanta Kelly-roberts Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294299061
PECOS Enrollment IDI20260713001685
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 Reassignment

Medicare enrollment records show Tenesha Kelly-roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brookview Medical Associates, PLLC
45 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800

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 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

JA'NET RUSSELL
Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
FRANCESCA YI MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-8578
DR. ELENI VASILEIOU MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (443) 248-8436
SRILAKSHMI GARIKAPATI
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MARY OSMAN THERAPY LLC
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
New York County (973) 298-0929
GIORGIA IANNETTI PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MISS SAMANTHA LUCILLE BURAGAS PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
CAM THAI
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500

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 Tenesha Kelly-roberts's NPI number?

The NPI number for Tenesha Kelly-roberts is 1114733417. It was assigned to this individual provider in the NPPES registry on December 10, 2024.

Where is Tenesha Kelly-roberts located?

Tenesha Kelly-roberts practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (212) 241-1314.

What is Tenesha Kelly-roberts's specialty?

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

Is Tenesha Kelly-roberts enrolled in Medicare?

Yes. Tenesha Kelly-roberts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tenesha Kelly-roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tenesha Kelly-roberts reassigns Medicare benefits to Brookview Medical Associates, PLLC (Bohemia, NY). The 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 Tenesha Kelly-roberts'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 Tenesha Kelly-roberts was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.