KELLY J HIRSCH FNP
NPI 1619959343
Nurse Practitioner - Family in Homer, NY
About Kelly J Hirsch Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY J HIRSCH FNP (NPI 1619959343) is an individual family provider in Homer, New York, licensed in New York (334759) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and maintains a secondary practice location in Homer.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly J Hirsch Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Hirsch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Homer, NY 13077
- Reassigned Medicare billing, New York enrollment
- 20 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 271 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Guthrie Cortland Regional Medical Center
Acute Care Hospitals · Cortland, NYCayuga Medical Center At Ithaca
Acute Care Hospitals · Ithaca, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13077 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
HOMER, NY 13077
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 Hirsch's NPI number?
The NPI number for Kelly Hirsch is 1619959343. It was assigned to this individual provider in the NPPES registry on November 17, 2005.
Where is Kelly Hirsch located?
Kelly Hirsch practices at 3 Technology Pl, Homer, NY 13077. The listed phone number is (607) 753-3774.
What is Kelly Hirsch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Hirsch enrolled in Medicare?
Yes. Kelly Hirsch 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.
Which organizations bill Medicare for Kelly Hirsch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hirsch reassigns Medicare benefits to 2 organizations: Family Health Network Of Central New York, Inc. (Homer, NY) and Suny Health Science Center At Syracuse (Syracuse, NY). 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 Kelly Hirsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Hirsch affiliated with any hospitals?
According to CMS data, Kelly Hirsch is affiliated with Guthrie Cortland Regional Medical Center and Cayuga Medical Center At Ithaca.
When was this NPI record last updated?
The NPPES record for Kelly Hirsch was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Kelly J Hirsch, FNP · NPI 1619959343
Family physician in Homer, New York. Individual provider, active in the CMS NPPES registry since November 17, 2005.
## Identity
- **NPI:** 1619959343 (Entity type: Individual)
- **Enumerated:** November 17, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 334759 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 TECHNOLOGY PL, Homer, NY 13077-1526
- **Phone:** (607) 753-3774 · **Fax:** (607) 753-3947
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Family Health Network Of Central New York, Inc. (NPI 1043374853, Homer, NY); Suny Health Science Center At Syracuse (NPI 1184974529, Syracuse, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 1, 2025
- **Other identifiers:** Other 000926203001; Other 161010811; Medicaid 02597780 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1619959343) · Data from the CMS NPPES public registry.