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

Q: 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.

Q: What is Tenesha Kelly-roberts's specialty?

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

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: August 09, 2026.

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

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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.

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

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, and ordering and referring status from the CMS PECOS system.

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).

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.

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.

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