EDWARD TIMOTHY OKELLEY MD PC
NPI 1407553936
Nurse Practitioner in Middletown, NY
About Edward Timothy Okelley Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD TIMOTHY OKELLEY MD PC (NPI 1407553936), doing business as Pallicare, is a healthcare organization registered as a nurse practitioner in Middletown, New York and active in the NPI registry since February 2023. The organization maintains a secondary practice location in Texarkana and lists Jonathan Fluhart, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 14
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edward Timothy Okelley Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Edward Timothy Okelley MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (19)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Edward Timothy Okelley MD PC's NPI number?
The NPI number for Edward Timothy Okelley MD PC is 1407553936. It was assigned to this organization in the NPPES registry on February 15, 2023. The provider is doing business as PalliCare.
Where is Edward Timothy Okelley MD PC located?
Edward Timothy Okelley MD PC is located at 155 Crystal Run Rd, Middletown, NY 10941. The listed phone number is (888) 725-5422.
What is Edward Timothy Okelley MD PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Edward Timothy Okelley MD PC enrolled in Medicare?
Yes. Edward Timothy Okelley MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edward Timothy Okelley MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to Edward Timothy Okelley MD PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (18) and Clinical Social Worker (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Edward Timothy Okelley MD PC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Edward Timothy Okelley Md Pc · NPI 1407553936
Nurse Practitioner organization in Middletown, New York. Organization record, active in the CMS NPPES registry since February 15, 2023.
## Identity
- **NPI:** 1407553936 (Entity type: Organization)
- **Enumerated:** February 15, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Also known as:** PalliCare (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jonathan Fluhart, CEO
## Practice location
- **Address:** 155 CRYSTAL RUN RD, Middletown, NY 10941-4028
- **Phone:** (888) 725-5422 · **Fax:** (903) 501-1100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Clinical Social Worker (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2026
- **Other identifiers:** Other EG0567 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1407553936) · Data from the CMS NPPES public registry.