MS. CONNIE DIANE KELLY NURSE PRACTITIONER
NPI 1760609382
Nurse Practitioner in Sidney, NY

Q: What is Connie Kelly's NPI number?

The NPI number for Connie Kelly is 1760609382. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Connie Kelly'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 Connie Kelly was last updated on October 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 April 18, 2007

39 PEARL ST W, SIDNEY, NY 13838(252) 354-7622 Get Directions Write a Review

NPPES record last updated: October 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Connie Diane Kelly Nurse Practitioner NPPES

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

MS. CONNIE DIANE KELLY NURSE PRACTITIONER (NPI 1760609382) is an individual nurse practitioner in Sidney, New York, licensed in New York (F332008-1) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1760609382

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. CONNIE DIANE KELLYCredential: NURSE PRACTITIONER

Location Address39 PEARL ST WSidney, NY 13838-1330

Mailing Address1937 Gibson Hill RdFranklin, NY 13775-4425 · (607) 287-8668

Phone(252) 354-7622

Sole ProprietorNo

Enumeration DateApril 18, 2007

Last NPPES UpdateOctober 23, 2008

✔ NPI 1760609382 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 · F332008-1

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.

39 PEARL ST W, Sidney, NY 13838

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Other Identifiers 1

Medicare UPINS38146NC

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

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

93%1,479 patients4/55-star benchmark: 99%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

99%77 patients5/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%77 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

6%77 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

12%77 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SHANNON GAIL STARK M.A. CCC/SLP, NP-C

Nurse Practitioner (Family)