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MRS. KELLY BRIANA KELLY FNP-BC
NPI 1629772322
Family Medicine in New Hyde Park, NY

Active since March 28, 2023PECOS Enrolled
10 PINEWOOD LN, NEW HYDE PARK, NY 11040(516) 512-2732 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2024, Mar 28, 2023 (2 updates tracked since 2023).

About Mrs. Kelly Briana Kelly Fnp-bc NPPES

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

MRS. KELLY BRIANA KELLY FNP-BC (NPI 1629772322) is an individual family medicine provider in New Hyde Park, New York, licensed in New York (F351213-01) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629772322
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. KELLY BRIANA KELLYCredential: FNP-BC
Location Address10 PINEWOOD LNNew Hyde Park, NY 11040-3321
Mailing Address41 Washington StreetSayville, NY 11782 · (516) 512-2732
Phone(516) 512-2732
Sole ProprietorNo
Enumeration DateMarch 28, 2023
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1629772322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · F351213-01
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10 PINEWOOD LN, New Hyde Park, NY 11040
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Other Names 1

Former Name (1)Ms. Kelly Briana Kerrane Fnp-bc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Briana Kelly Fnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
31 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

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 11040 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.

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 Kelly's NPI number?

The NPI number for Kelly Kelly is 1629772322. It was assigned to this individual provider in the NPPES registry on March 28, 2023. The provider is also known as Ms. Kelly Briana Kerrane Fnp-Bc.

Where is Kelly Kelly located?

Kelly Kelly practices at 10 Pinewood Ln, New Hyde Park, NY 11040. The listed phone number is (516) 512-2732.

What is Kelly Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Kelly enrolled in Medicare?

Yes. Kelly Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kelly reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). The 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 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 Kelly Kelly was last updated on October 9, 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.