KELSEY FALCONI
NPI 1144839937
Nurse Practitioner - Family in Pittsburgh, PA

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3600 FORBES AVE STE 10040, JAMESON HOSPITAL, PITTSBURGH, PA 15213(724) 658-9001 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2021, Jul 28, 2020 (2 updates tracked since 2020).

About Kelsey Falconi NPPES

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

KELSEY FALCONI (NPI 1144839937) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP022239) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144839937
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY FALCONI
Location Address3600 FORBES AVE STE 10040, JAMESON HOSPITALPittsburgh, PA 15213-3410
Mailing Address114 Hermitage Hills Blvd, Jameson HospitalHermitage, PA 16148-5728
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 28, 2020
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
NPI 1144839937 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 PA · SP022239
3600 FORBES AVE STE 10040, Pittsburgh, PA 15213

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

Kelsey Falconi 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 ID2365852514
PECOS Enrollment IDI20201029002108
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
73 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
64 services41 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims

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

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 supplier12 claims12 services$118.70 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 9

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

Physician Assistant (Medical)
3600 FORBES AVE STE 10040
PITTSBURGH, PA 15213
Nurse Practitioner (Family)
3600 FORBES AVE STE 10040
PITTSBURGH, PA 15213
Emergency Medicine
3600 FORBES AVE STE 10040
PITTSBURGH, PA 15213
Emergency Medicine
3600 FORBES AVE STE 10040
PITTSBURGH, PA 15213
Emergency Medicine
3600 FORBES AVE STE 10040
PITTSBURGH, PA 15213
Emergency Medicine
3600 FORBES AVE STE 10040
PITTSBURGH, PA 15213
Physician Assistant
3600 FORBES AVE STE 10040, JAMESON HOSPITAL
PITTSBURGH, PA 15213
Physician Assistant
3600 FORBES AVE STE 10040
PITTSBURGH, PA 15213

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 Kelsey Falconi's NPI number?

The NPI number for Kelsey Falconi is 1144839937. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Kelsey Falconi located?

Kelsey Falconi practices at 3600 Forbes Ave Ste 10040 Jameson Hospital, Pittsburgh, PA 15213. The listed phone number is (724) 658-9001.

What is Kelsey Falconi's specialty?

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

Is Kelsey Falconi enrolled in Medicare?

Yes. Kelsey Falconi 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 Kelsey Falconi affiliated with any hospitals?

According to CMS data, Kelsey Falconi is affiliated with Upmc Jameson and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Kelsey Falconi was last updated on May 24, 2021. 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.