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CAROLYN ANN KELLY FNP
NPI 1407197072
Nurse Practitioner - Family in Danbury, CT

Active since March 07, 2013PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
11 OSBORNE ST, DANBURY, CT 06810(203) 739-7131(203) 739-1554 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolyn Ann Kelly Fnp NPPES

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

CAROLYN ANN KELLY FNP (NPI 1407197072) is an individual family provider in Danbury, Connecticut, licensed in Connecticut (005298) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1407197072
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN ANN KELLYCredential: FNP
Location Address11 OSBORNE STDanbury, CT 06810-5918
Mailing Address111 Osborne StDanbury, CT 06810-6000 · (917) 968-6543
Phone(203) 739-7131
Fax(203) 739-1554
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 7, 2013
Last NPPES UpdateMarch 24, 2017
✔ NPI 1407197072 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
Licenses✔ Licensed in CT · 005298✔ Licensed in NY · F337508-1
11 OSBORNE ST, Danbury, CT 06810
Open in Google Maps ↗

Other Names 1

Other Name (5)Carolyn Waterbury Aprn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Ann Kelly Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567604457
PECOS Enrollment IDI20140228000995
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services59 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
6 suppliers42 claims1,070 services$3.24 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers12 claims20 services$6.99 avg. paid by Medicare
Ostomy skin barrier, liquid (spray, brush, etc.), per oz A4369
DME-Orthotic Devices · category DF010N
4 suppliers26 claims70 services$2.35 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
4 suppliers19 claims33 services$3.53 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373
DME-Orthotic Devices · category DF010N
2 suppliers11 claims220 services$5.11 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
5 suppliers72 claims1,890 services$4.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN LEIGH FRUECHTENICHT M.S.
Counselor (Professional)
11 OSBORNE ST, APARTMENT #3
DANBURY, CT 06810
Western Connecticut Planning Region (203) 733-8079

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 Carolyn Kelly's NPI number?

The NPI number for Carolyn Kelly is 1407197072. It was assigned to this individual provider in the NPPES registry on March 7, 2013. The provider is also known as Carolyn Waterbury Aprn.

Where is Carolyn Kelly located?

Carolyn Kelly practices at 11 Osborne St, Danbury, CT 06810. The listed phone number is (203) 739-7131.

What is Carolyn Kelly's specialty?

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

Is Carolyn Kelly enrolled in Medicare?

Yes. Carolyn Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carolyn Kelly was last updated on March 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.