KELLY WILMARTH C-FNP
NPI 1588072474
Nurse Practitioner in Johnson City, NY

Q: What is Kelly Wilmarth's NPI number?

The NPI number for Kelly Wilmarth is 1588072474. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Q: What is Kelly Wilmarth'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 Kelly Wilmarth was last updated on September 17, 2021. 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 July 24, 2014PECOS Enrolled

401 MAIN ST STE 1, JOHNSON CITY, NY 13790(607) 754-9870(607) 785-9862 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2021, Mar 18, 2021, Mar 31, 2017 (3 updates tracked since 2017).

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About Kelly Wilmarth C-fnp NPPES

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

KELLY WILMARTH C-FNP (NPI 1588072474) is an individual nurse practitioner in Johnson City, New York, licensed in New York (338979) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588072474

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY WILMARTHCredential: C-FNP

Location Address401 MAIN ST STE 1Johnson City, NY 13790-2065

Mailing Address401 Main St Ste 1Johnson City, NY 13790-2065 · (607) 754-9870 · Fax (607) 785-9862

Phone(607) 754-9870

Fax(607) 785-9862

Sole ProprietorYes

Enumeration DateJuly 24, 2014

Last NPPES UpdateSeptember 17, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2021

✔ NPI 1588072474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 338979

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.

401 MAIN ST STE 1, Johnson City, NY 13790

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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 Wilmarth C-fnp 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 13790 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.

Other Providers at the Same Location NPPES 6

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

TAMARA BURGER CNM

Advanced Practice Midwife