MRS. JACQUELINE A. KELLY NP
NPI 1558855296
Nurse Practitioner in Syracuse, NY

Q: What is Jacqueline Kelly's NPI number?

The NPI number for Jacqueline Kelly is 1558855296. It was assigned to this individual provider in the NPPES registry on June 17, 2018.

Q: What is Jacqueline Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Kelly was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 17, 2018PECOS Enrolled

86.47/100

CMS Quality Rating

750 EAST ADAMS STREET, SYRACUSE, NY 13210(315) 464-5979(315) 464-4761 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 12, 2018, Jun 17, 2018 (2 updates tracked since 2018).

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About Mrs. Jacqueline A. Kelly Np NPPES

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

MRS. JACQUELINE A. KELLY NP (NPI 1558855296) is an individual nurse practitioner in Syracuse, New York, licensed in New York (348747) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558855296

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JACQUELINE A. KELLYCredential: NP

Location Address750 EAST ADAMS STREETSyracuse, NY 13210

Mailing Address251 Salina Meadows Parkway, Suite 100Syracuse, NY 13212-4516 · (315) 464-2000 · Fax (315) 464-2010

Phone(315) 464-5979

Fax(315) 464-4761

Sole ProprietorNo

Enumeration DateJune 17, 2018

Last NPPES UpdateMarch 14, 20222 updates tracked since enumeration

NPPES CertifiedMarch 14, 2022

✔ NPI 1558855296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in NY · 348747✔ Licensed in NC · 5010974

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 348747 (NY)

750 EAST ADAMS STREET, Syracuse, NY 13210

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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)

Mrs. Jacqueline A. Kelly Np 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 13210 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.

86.47/100

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

Scored as part of a group practice

Quality

78.85

Promoting Interoperability

100

Improvement Activities

Cost

50.56

Other Providers at the Same Location NPPES 20

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

SARAH BOWLER PA

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