KELLY ANNE VAN NESS
NPI 1124621909
Nurse Practitioner - Family in Stony Brook, NY

Active since November 16, 2020
101 NICHOLLS ROAD, STONY BROOK, NY 11794(631) 444-4700 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Anne Van Ness NPPES

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

KELLY ANNE VAN NESS (NPI 1124621909) is an individual family provider in Stony Brook, New York, licensed in New York (F344679-01) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1124621909
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY ANNE VAN NESS
Location Address101 NICHOLLS ROADStony Brook, NY 11794-0001
Mailing Address276 Gerritsen AveBayport, NY 11705-2163
Sole ProprietorNo
Enumeration DateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
NPI 1124621909 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 · F344679-01
101 NICHOLLS ROAD, Stony Brook, NY 11794

Other Names 1

Former Name (1)Kelly Anne Hinlicky Fnp

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.

Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Nurse Practitioner (Pediatrics)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Nurse Practitioner (Acute Care)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Family Medicine
101 NICHOLLS ROAD, HSC LEVEL 3
STONY BROOK, NY 11794
Nurse Practitioner (Family)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Psychiatry & Neurology (Neurology)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Pathology (Anatomic Pathology & Clinical Pathology)
101 NICHOLLS ROAD
STONY BROOK, NY 11794

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 Van Ness's NPI number?

The NPI number for Kelly Van Ness is 1124621909. It was assigned to this individual provider in the NPPES registry on November 16, 2020. The provider is also known as Kelly Anne Hinlicky Fnp.

Where is Kelly Van Ness located?

Kelly Van Ness practices at 101 Nicholls Road, Stony Brook, NY 11794. The listed phone number is (631) 444-4700.

What is Kelly Van Ness's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Van Ness was last updated on November 16, 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.