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BETTY ANN KELLY M.D.
NPI 1861411969
Family Medicine in Garden City, NY

Active since July 19, 2006PECOS Enrolled
BLDG. #19 , WEST RD., MITCHEL COMPLEX FAMILY HEALTH CENTER, GARDEN CITY, NY 11530(516) 222-0228(516) 745-1519 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Betty Ann Kelly M.d. NPPES

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

BETTY ANN KELLY M.D. (NPI 1861411969) is an individual family medicine provider in Garden City, New York, licensed in New York (175095) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861411969
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBETTY ANN KELLYCredential: M.D.
Location AddressBLDG. #19 , WEST RD., MITCHEL COMPLEX FAMILY HEALTH CENTERGarden City, NY 11530
Mailing AddressBuilding #19, West Road, Mitchel Complex Family Health CenterGarden City, NY 11530-6720 · (516) 222-0228 · Fax (516) 745-1519
Phone(516) 222-0228
Fax(516) 745-1519
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 9, 2010
✔ NPI 1861411969 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 · 175095
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.
BLDG. #19 , WEST RD., Garden City, NY 11530
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Other Identifiers 1

Medicare UPINE87427NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Betty Ann Kelly M.d. 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 Betty Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Vincents Catholic Medical Centers Of New York
588 mi
Primary Care
WEST ROAD, BUILDING 19
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1790010817 (516) 222-0228

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 11530 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 Betty Kelly's NPI number?

The NPI number for Betty Kelly is 1861411969. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Betty Kelly located?

Betty Kelly practices at Bldg. #19 , West Rd. Mitchel Complex Family Health Center, Garden City, NY 11530. The listed phone number is (516) 222-0228.

What is Betty Kelly's specialty?

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

Is Betty Kelly enrolled in Medicare?

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

Which organization bills Medicare for Betty Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betty Kelly reassigns Medicare benefits to Saint Vincents Catholic Medical Centers Of New York (Garden City, 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 Betty 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 Betty Kelly was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.