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KELLY MARIE PELLICANE NP
NPI 1427318823
Nurse Practitioner - Family in New Hyde Park, NY

Active since May 21, 2012PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
269-1 76TH AVENUE, 365, NEW HYDE PARK, NY 11040(718) 470-7000 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Marie Pellicane Np NPPES

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

KELLY MARIE PELLICANE NP (NPI 1427318823) is an individual family provider in New Hyde Park, New York, licensed in New York (F336964-1) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1427318823
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MARIE PELLICANECredential: NP
Location Address269-1 76TH AVENUE, 365New Hyde Park, NY 11040
Mailing Address70 Euclid AveMassapequa, NY 11758-4508 · (516) 541-2036
Phone(718) 470-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 21, 2012
Last NPPES UpdateSeptember 13, 2018
✔ NPI 1427318823 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
License✔ Licensed in NY · F336964-1
269-1 76TH AVENUE, New Hyde Park, NY 11040
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Other Names 1

Former Name (1)Kelly Marie Ward Np

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

Kelly Marie Pellicane Np 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 ID3577798917
PECOS Enrollment IDI20131021000797
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 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Kelly Pellicane's NPI number?

The NPI number for Kelly Pellicane is 1427318823. It was assigned to this individual provider in the NPPES registry on May 21, 2012. The provider is also known as Kelly Marie Ward Np.

Where is Kelly Pellicane located?

Kelly Pellicane practices at 269-1 76th Avenue 365, New Hyde Park, NY 11040. The listed phone number is (718) 470-7000.

What is Kelly Pellicane's specialty?

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

Is Kelly Pellicane enrolled in Medicare?

Yes. Kelly Pellicane 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 Kelly Pellicane was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.