KELLY E MENDELLO AGACNP
NPI 1922613751
Nurse Practitioner - Acute Care in New York, NY
About Kelly E Mendello Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY E MENDELLO AGACNP (NPI 1922613751) is an individual acute care provider in New York, New York, licensed in New York (431838) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly E Mendello Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Mendello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 452 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NEW YORK, NY 10065
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 Mendello's NPI number?
The NPI number for Kelly Mendello is 1922613751. It was assigned to this individual provider in the NPPES registry on September 9, 2020.
Where is Kelly Mendello located?
Kelly Mendello practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-6924.
What is Kelly Mendello's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelly Mendello enrolled in Medicare?
Yes. Kelly Mendello is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Mendello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mendello reassigns Medicare benefits to Mskcc Surgery Group (New York, 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 Mendello'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 Mendello was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelly E Mendello, AGACNP · NPI 1922613751
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 9, 2020.
## Identity
- **NPI:** 1922613751 (Entity type: Individual)
- **Enumerated:** September 9, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 431838 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-6924
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mskcc Surgery Group (NPI 1699766261, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1922613751) · Data from the CMS NPPES public registry.