MRS. KELLY MARIE CENNAME PA
NPI 1124312665
Physician Assistant - Surgical in Utica, NY

Active since June 01, 2011PECOS EnrolledAccepts Medicare Assignment
2211 GENESEE ST, UTICA, NY 13501(315) 801-8567 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2020, Aug 20, 2020, Aug 10, 2020 (3 updates tracked since 2020).

About Mrs. Kelly Marie Cenname Pa NPPES

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

MRS. KELLY MARIE CENNAME PA (NPI 1124312665) is an individual surgical provider in Utica, New York and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Albany Medical College Of Union University (2011).

NPPES Registry Identity

NPI1124312665
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. KELLY MARIE CENNAMECredential: PA
Location Address2211 GENESEE STUtica, NY 13501-5930
Mailing Address2209 Genesee St., Business OfficeUtica, NY 13501-5930 · (315) 801-4238 · Fax (315) 801-8391
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2011
Enumeration DateJune 1, 2011
Last NPPES UpdateNovember 19, 20203 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
NPI 1124312665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2211 GENESEE ST, Utica, NY 13501

Other Names 1

Former Name (1)Kelly Marie Santopietro Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kelly Marie Cenname Pa 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 ID6800060476
PECOS Enrollment IDI20111116000347
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$81.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Adult Health)
2211 GENESEE ST, SUITE 200
UTICA, NY 13501
Internal Medicine (Clinical Cardiac Electrophysiology)
2211 GENESEE ST, SUITE 200
UTICA, NY 13501
Internal Medicine (Interventional Cardiology)
2211 GENESEE ST, SUITE 200
UTICA, NY 13501
Internal Medicine (Cardiovascular Disease)
2211 GENESEE ST, SUITE 200
UTICA, NY 13501
Internal Medicine (Clinical Cardiac Electrophysiology)
2211 GENESEE ST, SUITE 200
UTICA, NY 13501
Physician Assistant
2211 GENESEE ST
UTICA, NY 13501
Nurse Practitioner (Family)
2211 GENESEE ST
UTICA, NY 13501
Internal Medicine (Cardiovascular Disease)
2211 GENESEE ST, SUITE 200
UTICA, NY 13501

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 Cenname's NPI number?

The NPI number for Kelly Cenname is 1124312665. It was assigned to this individual provider in the NPPES registry on June 1, 2011. The provider is also known as Kelly Marie Santopietro PA.

Where is Kelly Cenname located?

Kelly Cenname practices at 2211 Genesee St, Utica, NY 13501. The listed phone number is (315) 801-8567.

What is Kelly Cenname's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelly Cenname enrolled in Medicare?

Yes. Kelly Cenname 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.

Is Kelly Cenname affiliated with any hospitals?

According to CMS data, Kelly Cenname is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Cenname was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.