KELLY ZODL NP
NPI 1336838333
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY

Q: What is Kelly Zodl's NPI number?

The NPI number for Kelly Zodl is 1336838333. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Q: What is Kelly Zodl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Zodl was last updated on December 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2023PECOS Enrolled

601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-4501 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2023, May 30, 2023, May 4, 2023 (3 updates tracked since 2023).

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About Kelly Zodl Np NPPES

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

KELLY ZODL NP (NPI 1336838333) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (404960) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1336838333

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY ZODLCredential: NP

Location Address601 ELMWOOD AVERochester, NY 14642-5144

Mailing Address601 Elmwood AveRochester, NY 14642-5144 · (585) 275-4501

Phone(585) 275-4501

Sole ProprietorYes

Enumeration DateMay 4, 2023

Last NPPES UpdateDecember 4, 20233 updates tracked since enumeration

NPPES CertifiedDecember 4, 2023

✔ NPI 1336838333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 404960

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 717528 (NY)

601 ELMWOOD AVE, Rochester, NY 14642

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Secondary Practice Location 1

Location 13591 Lake AveRochester, NY 14612-5144 · Phone (585) 415-6015

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 Zodl Np 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 14642 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.

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