KERRI L PELLAM
NPI 1295528081
Nurse Practitioner - Adult Health in Watertown, NY

Q: What is Kerri Pellam's NPI number?

The NPI number for Kerri Pellam is 1295528081. It was assigned to this individual provider in the NPPES registry on May 26, 2025.

Q: What is Kerri Pellam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kerri Pellam was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 26, 2025PECOS Enrolled

830 WASHINGTON ST, WATERTOWN, NY 13601(315) 709-9065 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, May 26, 2025 (2 updates tracked since 2025).

On this page

About Kerri L Pellam NPPES

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

KERRI L PELLAM (NPI 1295528081) is an individual adult health provider in Watertown, New York, licensed in New York (357284) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1295528081

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKERRI L PELLAM

Location Address830 WASHINGTON STWatertown, NY 13601-4034

Mailing Address7485 Hodge RdLowville, NY 13367-2332 · (315) 709-9065

Phone(315) 709-9065

Sole ProprietorNo

Enumeration DateMay 26, 2025

Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1295528081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 357284

Also ListedFamily MedicineTaxonomy 207Q00000X · License 357284 (NY)

830 WASHINGTON ST, Watertown, NY 13601

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Penn Plz Fl 8New York, NY 10119-0899 · Phone (315) 709-9065

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerri L Pellam 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 13601 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.

JIN JU YI

Student in an Organized Health Care Education/Training Program