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KELLY TATIANA GARCES TRUJILLO FNP
NPI 1295513778
Nurse Practitioner - Family in New York, NY

Active since September 18, 2023PECOS Enrolled
1190 5TH AVE, NEW YORK, NY 10029(212) 241-8597(212) 731-3449 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Tatiana Garces Trujillo Fnp NPPES

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

KELLY TATIANA GARCES TRUJILLO FNP (NPI 1295513778) is an individual family provider in New York, New York, licensed in New York (351661) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1295513778
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY TATIANA GARCES TRUJILLOCredential: FNP
Location Address1190 5TH AVENew York, NY 10029-6503
Mailing Address1190 5th AveNew York, NY 10029-6503 · (212) 241-8597 · Fax (212) 731-3449
Phone(212) 241-8597
Fax(212) 731-3449
Sole ProprietorYes
Enumeration DateSeptember 18, 2023
Last NPPES UpdateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1295513778 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 · 351661
1190 5TH AVE, New York, NY 10029
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 427-1540

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Tatiana Garces Trujillo 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 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

AKOSUA AFUMWAA FRIMPONG
Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 659-6864
OMAR AL DHAYBI M.D.
Internal Medicine (Nephrology)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
PETER FARIES M.D.
Surgery (Vascular Surgery)
1190 5TH AVE, GP1 1ST FLOOR
NEW YORK, NY 10029
New York County (212) 241-5386
SHREYANS PATEL
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
STAMATIOS LERAKIS MD
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
DR. ANTHONY JOSEPH SOCHAN MD
Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MELISSA YEEN FONG LING
Physician Assistant
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-7114
ANNA GARINO NP
Nurse Practitioner (Acute Care)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-1000

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 Garces Trujillo's NPI number?

The NPI number for Kelly Garces Trujillo is 1295513778. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Kelly Garces Trujillo located?

Kelly Garces Trujillo practices at 1190 5th Ave, New York, NY 10029. The listed phone number is (212) 241-8597.

What is Kelly Garces Trujillo's specialty?

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

Is Kelly Garces Trujillo enrolled in Medicare?

Yes. Kelly Garces Trujillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Garces Trujillo was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.