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KELLY-ANN DEPONTO RN, NP-BC
NPI 1497059570
Nurse Practitioner - Family in South Salem, NY

Active since January 04, 2011PECOS Enrolled
25 TRI BROOK DR, SOUTH SALEM, NY 10590(914) 774-5565 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly-ann Deponto Rn, Np-bc NPPES

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

KELLY-ANN DEPONTO RN, NP-BC (NPI 1497059570) is an individual family provider in South Salem, New York, licensed in New York (337132) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497059570
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY-ANN DEPONTOCredential: RN, NP-BC
Location Address25 TRI BROOK DRSouth Salem, NY 10590-1903
Mailing Address25 Tri Brook DrSouth Salem, NY 10590-1903 · (914) 774-5565
Phone(914) 774-5565
Sole ProprietorYes
Enumeration DateJanuary 4, 2011
Last NPPES UpdateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1497059570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 337132
Also ListedRegistered NurseTaxonomy 163W00000X · License 536560 (NY)
25 TRI BROOK DR, South Salem, NY 10590
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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-ann Deponto Rn, Np-bc 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 10590 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.

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-ann Deponto's NPI number?

The NPI number for Kelly-ann Deponto is 1497059570. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Where is Kelly-ann Deponto located?

Kelly-ann Deponto practices at 25 Tri Brook Dr, South Salem, NY 10590. The listed phone number is (914) 774-5565.

What is Kelly-ann Deponto's specialty?

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

Is Kelly-ann Deponto enrolled in Medicare?

Yes. Kelly-ann Deponto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly-ann Deponto was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.