DR. KELLY ANDRE JARRETT M.D.
NPI 1124339080
Family Medicine in Brooklyn, NY

Q: What is Kelly Jarrett's NPI number?

The NPI number for Kelly Jarrett is 1124339080. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Q: What is Kelly Jarrett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Jarrett was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 25, 2010PECOS EnrolledAccepts Medicare Assignment

455 SUTTER AVE, BROOKLYN, NY 11212(718) 765-6550(347) 620-9739 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, Apr 25, 2021 (2 updates tracked since 2021).

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About Dr. Kelly Andre Jarrett M.d. NPPES

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

DR. KELLY ANDRE JARRETT M.D. (NPI 1124339080) is an individual family medicine provider in Brooklyn, New York, licensed in New York (281898) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2010).

NPPES Registry Identity

NPI1124339080

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KELLY ANDRE JARRETTCredential: M.D.

Location Address455 SUTTER AVEBrooklyn, NY 11212-8111

Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (312) 733-9730

Phone(718) 765-6550

Fax(347) 620-9739

Sole ProprietorYes

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2010

Enumeration DateJune 25, 2010

Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1124339080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 281898

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 281898 (NY)

Also ListedHospitalistTaxonomy 208M00000X · License 281898 (NY)

455 SUTTER AVE, Brooklyn, NY 11212

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Secondary Practice Location 1

Location 12006 Madison AveNew York, NY 10035-1217 · Phone (212) 633-0815

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

Dr. Kelly Andre Jarrett M.d. 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 ID6507162468

PECOS Enrollment IDI20160303000208

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

30 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11212 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.

Other Providers at the Same Location NPPES 17

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

MISS ROSE NATANIA FRANCOIS NP

Nurse Practitioner (Adult Health)