KELLY ANN YALE-SUDA RN, GRADUATE NP
NPI 1447872817
Nurse Practitioner - Adult Health in Johnson City, NY

Q: What is Kelly Yale-suda's NPI number?

The NPI number for Kelly Yale-suda is 1447872817. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Q: What is Kelly Yale-suda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Yale-suda was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 May 08, 2020PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

30 HARRISON ST STE 355, JOHNSON CITY, NY 13790(607) 763-8102(607) 763-8018 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, May 26, 2021, May 8, 2020 (3 updates tracked since 2020).

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About Kelly Ann Yale-suda Rn, Graduate Np NPPES

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

KELLY ANN YALE-SUDA RN, GRADUATE NP (NPI 1447872817) is an individual adult health provider in Johnson City, New York, licensed in New York (309912) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and maintains a secondary practice location in Binghamton.

NPPES Registry Identity

NPI1447872817

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLY ANN YALE-SUDACredential: RN, GRADUATE NP

Location Address30 HARRISON ST STE 355Johnson City, NY 13790-2162

Mailing Address169 Riverside DrBinghamton, NY 13905-4246 · (607) 352-3550

Phone(607) 763-8102

Fax(607) 763-8018

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 8, 2020

Last NPPES UpdateNovember 18, 20253 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1447872817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 309912

Also ListedRegistered NurseTaxonomy 163W00000X · License 587887 (NY)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 309912 (NY)

30 HARRISON ST STE 355, Johnson City, NY 13790

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Secondary Practice Location 1

Location 1169 Riverside DrBinghamton, NY 13905-4246 · Phone (607) 352-3550

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 Ann Yale-suda Rn, Graduate 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 ID5799105938

PECOS Enrollment IDI20201009000233

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330011

Location169 Riverside DriveBinghamton, NY 13905 · Broome County

Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330394

Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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.

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.57

Promoting Interoperability

Improvement Activities

Cost

64.87

Other Providers at the Same Location NPPES 6

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

ALEKSANDRA TIY AUD

Audiologist