DR. KELLY MAY WERNER MD
NPI 1639532625
Pediatrics - Neonatal-Perinatal Medicine in New York, NY

Active since March 29, 2016PECOS Enrolled
3959 BROADWAY, NEW YORK, NY 10032(212) 305-5827 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2020, Jun 22, 2019, Mar 29, 2016 (3 updates tracked since 2016).

About Dr. Kelly May Werner Md NPPES

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

DR. KELLY MAY WERNER MD (NPI 1639532625) is an individual neonatal-perinatal medicine provider in New York, New York, licensed in New York (31759201) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1639532625
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KELLY MAY WERNERCredential: MD
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address3959 BroadwayNew York, NY 10032-1559 · (212) 305-5827
Sole ProprietorNo
Enumeration DateMarch 29, 2016
Last NPPES UpdateMarch 20, 20243 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1639532625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 31759201
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 63932 (CT)
3959 BROADWAY, New York, NY 10032

Secondary Practice Location 1

Location 120 York StNew Haven, CT 06510-3220 · Phone (203) 688-4242

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly May Werner Md 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 Reassignments

2

Medicare enrollment records show Kelly Werner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Emergency Medicine
55 PALMER AVENUE, DEPARTMENT OF EMERGENCY MEDICINE
Bronxville, NY 10708
  • Reassigned Medicare billing, New York enrollment
  • 531 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.

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.

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Werner's NPI number?

The NPI number for Kelly Werner is 1639532625. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Kelly Werner located?

Kelly Werner practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-5827.

What is Kelly Werner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kelly Werner enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Werner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Werner reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and Lawrence Medical Associates, PC (Bronxville, 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 Werner'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 Werner was last updated on March 20, 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.