GRACE KATHERINE KELLY DNP, FNP
NPI 1578058301
Nurse Practitioner - Family in Orchard Park, NY
About Grace Katherine Kelly Dnp, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE KATHERINE KELLY DNP, FNP (NPI 1578058301) is an individual family provider in Orchard Park, New York, licensed in New York (343169) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Katherine Kelly Dnp, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Grace Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Amherst, NY 14226
- Reassigned Medicare billing, New York enrollment
- 85 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,225 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14127 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
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 Grace Kelly's NPI number?
The NPI number for Grace Kelly is 1578058301. It was assigned to this individual provider in the NPPES registry on June 25, 2018.
Where is Grace Kelly located?
Grace Kelly practices at 200 Sterling Dr, Orchard Park, NY 14127. The listed phone number is (716) 250-2000.
What is Grace Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Grace Kelly enrolled in Medicare?
Yes. Grace Kelly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Grace Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Kelly reassigns Medicare benefits to 2 organizations: Dent Neurologic Group LLP (Amherst, NY) and Childrens Health Care Associates, Inc (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Grace Kelly was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Grace Katherine Kelly, DNP, FNP · NPI 1578058301
Family physician in Orchard Park, New York. Individual provider, active in the CMS NPPES registry since June 25, 2018.
## Identity
- **NPI:** 1578058301 (Entity type: Individual)
- **Enumerated:** June 25, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 343169 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 STERLING DR, Orchard Park, NY 14127-1577
- **Phone:** (716) 250-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dent Neurologic Group LLP (NPI 1497850911, Amherst, NY); Childrens Health Care Associates, Inc (NPI 1033204086, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1578058301) · Data from the CMS NPPES public registry.