KELLY A BAILEY FNP-C
NPI 1255333258
Nurse Practitioner - Family in Queensbury, NY

Active since August 10, 2005PECOS Enrolled
65.44/100
CMS Quality Rating
747 UPPER GLEN ST, QUEENSBURY, NY 12804(518) 793-1083(518) 793-0953 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly A Bailey Fnp-c NPPES

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

KELLY A BAILEY FNP-C (NPI 1255333258) is an individual family provider in Queensbury, New York, licensed in New York (332300) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255333258
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY A BAILEYCredential: FNP-C
Location Address747 UPPER GLEN STQueensbury, NY 12804-2032
Mailing Address4 Atrium Dr, Suite 100, Attn: Tammy M. ButtonAlbany, NY 12205-1441 · (518) 435-2740 · Fax (518) 458-2610
Fax(518) 793-0953
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1255333258 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 · 332300
747 UPPER GLEN ST, Queensbury, NY 12804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly A Bailey Fnp-c 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 Reassignments

3

Medicare enrollment records show Kelly Bailey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
959 STATE ROUTE 9 STE O
Queensbury, NY 12804
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1356764021 (New York), NPI 1629415740 (New York)
  • 42 clinicians in this Medicare group
Nephrology
2 BROAD STREET PLZ
Glens Falls, NY 12801
  • Reassigned Medicare billing, New York enrollment
  • 98 clinicians in this Medicare group
Urgent Care
6 MEDICAL PARK DRIVE
Malta, NY 12020
  • Reassigned Medicare billing, New York enrollment
  • 103 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
194 services186 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
96 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12804 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.

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.

65.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.37
Improvement Activities40
Cost64.8

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%51 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Kelly Bailey's NPI number?

The NPI number for Kelly Bailey is 1255333258. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Kelly Bailey located?

Kelly Bailey practices at 747 Upper Glen St, Queensbury, NY 12804. The listed phone number is (518) 793-1083.

What is Kelly Bailey's specialty?

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

Is Kelly Bailey enrolled in Medicare?

Yes. Kelly Bailey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bailey reassigns Medicare benefits to 3 organizations: Saratoga Hospital (Queensbury, NY), Saratoga Regional Medical , P.C (Glens Falls, NY) and Healthcare Partners Of Saratoga Ltd (Malta, 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 Kelly Bailey'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 Kelly Bailey was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.