KAELYN PILLMORE FNP-C
NPI 1205562170
Nurse Practitioner - Family in Rome, NY
About Kaelyn Pillmore Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAELYN PILLMORE FNP-C (NPI 1205562170) is an individual family provider in Rome, New York, licensed in New York (349971) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and maintains a secondary practice location in Rome.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaelyn Pillmore Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Kaelyn Pillmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, NY 10940
- Reassigned Medicare billing, New York enrollment
- 281 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Garnet Health Medical Center
Acute Care Hospitals · Middletown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13440 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 5
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 Kaelyn Pillmore's NPI number?
The NPI number for Kaelyn Pillmore is 1205562170. It was assigned to this individual provider in the NPPES registry on July 25, 2022.
Where is Kaelyn Pillmore located?
Kaelyn Pillmore practices at 1614 N James St, Rome, NY 13440. The listed phone number is (315) 338-7284.
What is Kaelyn Pillmore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kaelyn Pillmore enrolled in Medicare?
Yes. Kaelyn Pillmore 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.
Which organization bills Medicare for Kaelyn Pillmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaelyn Pillmore reassigns Medicare benefits to Middletown Medical PC (Middletown, NY). The 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 Kaelyn Pillmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kaelyn Pillmore affiliated with any hospitals?
According to CMS data, Kaelyn Pillmore is affiliated with Garnet Health Medical Center.
When was this NPI record last updated?
The NPPES record for Kaelyn Pillmore was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kaelyn Pillmore, FNP-C · NPI 1205562170
Family physician in Rome, New York. Individual provider, active in the CMS NPPES registry since July 25, 2022.
## Identity
- **NPI:** 1205562170 (Entity type: Individual)
- **Enumerated:** July 25, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 349971 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1614 N JAMES ST, Rome, NY 13440-2830
- **Phone:** (315) 338-7284 · **Fax:** (315) 338-7286
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Middletown Medical PC (NPI 1902855828, Middletown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205562170) · Data from the CMS NPPES public registry.