CARLY J MCKILLOP FNP
NPI 1215379912
Nurse Practitioner - Family in Binghamton, NY

Q: What is Carly Mckillop's NPI number?

The NPI number for Carly Mckillop is 1215379912. It was assigned to this individual provider in the NPPES registry on July 23, 2013. The provider is also known as Carly J Zomro Fnp.

Q: What is Carly Mckillop's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Mckillop was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 23, 2013PECOS Enrolled

169 RIVERSIDE DR, LOURDES PRIMARY CARE NETWORK, SUITE 307, BINGHAMTON, NY 13905(607) 798-5897(607) 798-5093 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Carly J Mckillop Fnp NPPES

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

CARLY J MCKILLOP FNP (NPI 1215379912) is an individual family provider in Binghamton, New York, licensed in New York (338053) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215379912

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARLY J MCKILLOPCredential: FNP

Location Address169 RIVERSIDE DR, LOURDES PRIMARY CARE NETWORK, SUITE 307Binghamton, NY 13905-4246

Mailing Address169 Riverside Dr, Lourdes Primary Care Network, Suite 307Binghamton, NY 13905-4246 · (607) 798-5897 · Fax (607) 798-5093

Phone(607) 798-5897

Fax(607) 798-5093

Sole ProprietorYes

Enumeration DateJuly 23, 2013

✔ NPI 1215379912 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 · 338053

169 RIVERSIDE DR, Binghamton, NY 13905

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Other Names 1

Former Name (1)Carly J Zomro Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly J Mckillop Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 20

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

JOANN MARIE ERNST FNP

Nurse Practitioner (Family)