SIMONE KELLEY NP
NPI 1154290393
Nurse Practitioner - Family in Arcade, NY
About Simone Kelley Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMONE KELLEY NP (NPI 1154290393) is an individual family provider in Arcade, New York, licensed in New York (357793) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Simone Kelley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Simone Kelley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Silver Springs, NY 14550
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Wyoming County
- 76 clinicians in this Medicare group
Pittsford, NY 14534
- Reassigned Medicare billing, New York enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Simone Kelley's NPI number?
The NPI number for Simone Kelley is 1154290393. It was assigned to this individual provider in the NPPES registry on November 4, 2025.
Where is Simone Kelley located?
Simone Kelley practices at 401 Main St, Arcade, NY 14009. The listed phone number is (585) 492-5088.
What is Simone Kelley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Simone Kelley enrolled in Medicare?
Yes. Simone Kelley is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Simone Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simone Kelley reassigns Medicare benefits to 2 organizations: Wyoming County County Of Wyoming (Silver Springs, NY) and Midtown East Medical Services, PC (Pittsford, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Simone Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Simone Kelley was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Simone Kelley, NP · NPI 1154290393
Family physician in Arcade, New York. Individual provider, active in the CMS NPPES registry since November 4, 2025.
## Identity
- **NPI:** 1154290393 (Entity type: Individual)
- **Enumerated:** November 4, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 357793 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 MAIN ST, Arcade, NY 14009-1113
- **Phone:** (585) 492-5088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wyoming County County Of Wyoming (NPI 1720115017, Silver Springs, NY); Midtown East Medical Services, PC (NPI 1801292800, Pittsford, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154290393) · Data from the CMS NPPES public registry.