MRS. TARA MARIE KELLY NP
NPI 1508503632
Nurse Practitioner - Family in Merrick, NY

Active since May 19, 2022PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
2119 MERRICK RD, MERRICK, NY 11566(516) 377-2820 Get Directions Write a Review

NPPES record last updated: June 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Tara Marie Kelly Np NPPES

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

MRS. TARA MARIE KELLY NP (NPI 1508503632) is an individual family provider in Merrick, New York, licensed in New York (347883) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508503632
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TARA MARIE KELLYCredential: NP
Location Address2119 MERRICK RDMerrick, NY 11566-4704
Mailing Address2119 Merrick RdMerrick, NY 11566-4704 · (516) 377-2820
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 19, 2022
Last NPPES UpdateJune 4, 2022
NPPES CertifiedJune 2, 2022
NPI 1508503632 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 · 347883
2119 MERRICK RD, Merrick, NY 11566

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

Mrs. Tara Marie Kelly 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 ID7810373685
PECOS Enrollment IDI20220930002091
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11566 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

Other Providers at the Same Location NPPES 8

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

Pharmacy (Community/Retail Pharmacy)
2119 MERRICK RD
MERRICK, NY 11566
Pharmacist
2119 MERRICK RD
MERRICK, NY 11566
Family Medicine
2119 MERRICK RD
MERRICK, NY 11566
Registered Nurse (Diabetes Educator)
2119 MERRICK RD
MERRICK, NY 11566
Nurse Practitioner (Primary Care)
2119 MERRICK RD
MERRICK, NY 11566
Physician Assistant
2119 MERRICK RD
MERRICK, NY 11566
Internal Medicine
2119 MERRICK RD
MERRICK, NY 11566
Family Medicine
2119 MERRICK RD
MERRICK, NY 11566

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 Tara Kelly's NPI number?

The NPI number for Tara Kelly is 1508503632. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Tara Kelly located?

Tara Kelly practices at 2119 Merrick Rd, Merrick, NY 11566. The listed phone number is (516) 377-2820.

What is Tara Kelly's specialty?

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

Is Tara Kelly enrolled in Medicare?

Yes. Tara Kelly 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 Tara Kelly affiliated with any hospitals?

According to CMS data, Tara Kelly is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Tara Kelly was last updated on June 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.