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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Carly Mckillop reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Our Lady Of Lourdes Memorial Hospital, Inc.
Same address
Family Medicine
169 RIVERSIDE DR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 386 clinicians in this Medicare group
NPI 1063557189 (607) 584-5459

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 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)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6701
ALISON BROOKHART MS, FNP-C
Nurse Practitioner
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
MISS JENNIFER LYNN HOPKINS NP
Nurse Practitioner (Adult Health)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
AYESHA MUNIR MD
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5725
FAIZA CHOUDHRY
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 789-5725
CARLEE PETERSON FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6166
SYDNEY MARIE LAURIA
Licensed Practical Nurse
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5231
JAMES R STEINMETZ M.D.
Urology
169 RIVERSIDE DR, DEPAUL PAVILION
BINGHAMTON, NY 13905
Broome County (607) 729-7666

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 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.

Where is Carly Mckillop located?

Carly Mckillop practices at 169 Riverside Dr Lourdes Primary Care Network, Suite 307, Binghamton, NY 13905. The listed phone number is (607) 798-5897.

What is Carly Mckillop's specialty?

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

Is Carly Mckillop enrolled in Medicare?

Yes. Carly Mckillop is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Mckillop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Mckillop reassigns Medicare benefits to Our Lady Of Lourdes Memorial Hospital, Inc. (Binghamton, 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 Carly Mckillop'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 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.