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KELLY MCINTYRE APN-BC
NPI 1881451789
Nurse Practitioner in Paterson, NJ

Active since March 06, 2024PECOS Enrolled
703 MAIN ST, PATERSON, NJ 07503(973) 754-2000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2024, Mar 6, 2024 (2 updates tracked since 2024).

About Kelly Mcintyre Apn-bc NPPES

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

KELLY MCINTYRE APN-BC (NPI 1881451789) is an individual nurse practitioner in Paterson, New Jersey, licensed in New Jersey (26NJ15087400) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881451789
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY MCINTYRECredential: APN-BC
Location Address703 MAIN STPaterson, NJ 07503-2621
Mailing Address816 Loretta DrRiver Vale, NJ 07675-6551
Phone(973) 754-2000
Sole ProprietorNo
Enumeration DateMarch 6, 2024
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1881451789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ15087400
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 432802 (NY)
703 MAIN ST, Paterson, NJ 07503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Mcintyre Apn-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 Mcintyre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Josephs Medical Group PC
Same address
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000

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 07503 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

DR. SETAREH SHAMS MD
Obstetrics & Gynecology (Obstetrics)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2700
ANTOINE MANSOURATI MD
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
KARWAN AMEEN MD
Internal Medicine
703 MAIN ST
PATERSON, NJ 07503
Passaic County (718) 334-4000
SAIF HASAN DO
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
SUSAN MUGALU ANP
Nurse Practitioner (Family)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-0000
JONATHAN EDWARD MOVSIK
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
DIANE E MCCLURE CPNP
Nurse Practitioner (Neonatal, Critical Care)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2555
STEPHEN MASSOOD M.D.
Orthopaedic Surgery
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
PATERSON, NJ 07503
Passaic County (973) 754-2270

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 Mcintyre's NPI number?

The NPI number for Kelly Mcintyre is 1881451789. It was assigned to this individual provider in the NPPES registry on March 6, 2024.

Where is Kelly Mcintyre located?

Kelly Mcintyre practices at 703 Main St, Paterson, NJ 07503. The listed phone number is (973) 754-2000.

What is Kelly Mcintyre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Mcintyre enrolled in Medicare?

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

Which organization bills Medicare for Kelly Mcintyre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mcintyre reassigns Medicare benefits to St Josephs Medical Group PC (Paterson, NJ). 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 Mcintyre'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 Mcintyre was last updated on June 25, 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.