KELLY JEAN WISNIEWSKI AGNP
NPI 1467254425
Nurse Practitioner - Adult Health in Roslyn, NY
About Kelly Jean Wisniewski Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY JEAN WISNIEWSKI AGNP (NPI 1467254425) is an individual adult health provider in Roslyn, New York, licensed in New York (312048) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Jean Wisniewski Agnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Francis Hospital - The Heart Center
Acute Care Hospitals · Roslyn, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11576 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wisniewski's NPI number?
The NPI number for Kelly Wisniewski is 1467254425. It was assigned to this individual provider in the NPPES registry on March 27, 2025. The provider is also known as Kelly Jean O'brien.
Where is Kelly Wisniewski located?
Kelly Wisniewski practices at 100 Port Washinton Blvd, Roslyn, NY 11576. The listed phone number is (516) 390-9640.
What is Kelly Wisniewski's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kelly Wisniewski enrolled in Medicare?
Yes. Kelly Wisniewski 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.
Is Kelly Wisniewski affiliated with any hospitals?
According to CMS data, Kelly Wisniewski is affiliated with St Francis Hospital - The Heart Center.
When was this NPI record last updated?
The NPPES record for Kelly Wisniewski was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kelly Jean Wisniewski, AGNP · NPI 1467254425
Adult Health physician in Roslyn, New York. Individual provider, active in the CMS NPPES registry since March 27, 2025.
## Identity
- **NPI:** 1467254425 (Entity type: Individual)
- **Enumerated:** March 27, 2025
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 312048 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 PORT WASHINTON BLVD, Roslyn, NY 11576
- **Phone:** (516) 390-9640
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467254425) · Data from the CMS NPPES public registry.