KELLY M DENNE-MAHER
NPI 1417118738
Nurse Practitioner - Neonatal in Syracuse, NY

Q: What is Kelly Denne-maher's NPI number?

The NPI number for Kelly Denne-maher is 1417118738. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Q: What is Kelly Denne-maher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Denne-maher was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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 June 19, 2008PECOS Enrolled

736 IRVING AVE, SUITE 9100, SYRACUSE, NY 13210(315) 470-7379(315) 470-2923 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kelly M Denne-maher NPPES

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

KELLY M DENNE-MAHER (NPI 1417118738) is an individual neonatal provider in Syracuse, New York, licensed in New York (350122) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417118738

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameKELLY M DENNE-MAHER

Location Address736 IRVING AVE, SUITE 9100Syracuse, NY 13210-1687

Mailing Address736 Irving Ave, Suite 9100Syracuse, NY 13210-1687 · (315) 470-7379 · Fax (315) 470-2923

Phone(315) 470-7379

Fax(315) 470-2923

Sole ProprietorYes

Enumeration DateJune 19, 2008

✔ NPI 1417118738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in NY · 350122

736 IRVING AVE, Syracuse, NY 13210

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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 M Denne-maher 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 13210 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.

IRENE S BORJA FNP-BC

Nurse Practitioner (Family)