MISS KELLY ANN BYRNES APN
NPI 1932589470
Nurse Practitioner - Adult Health in Ocean, NJ

Active since May 29, 2015PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
3200 SUNSET AVE, OCEAN, NJ 07712(732) 775-9000(732) 775-6660 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Kelly Ann Byrnes Apn NPPES

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

MISS KELLY ANN BYRNES APN (NPI 1932589470) is an individual adult health provider in Ocean, New Jersey, licensed in New Jersey (26NJ00561800) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1932589470
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMISS KELLY ANN BYRNESCredential: APN
Location Address3200 SUNSET AVEOcean, NJ 07712-4567
Mailing Address3200 Sunset AveOcean, NJ 07712-4567 · (732) 775-9000 · Fax (732) 775-6660
Fax(732) 775-6660
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 29, 2015
✔ NPI 1932589470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00561800
3200 SUNSET AVE, Ocean, NJ 07712

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Kelly Ann Byrnes Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002129251
PECOS Enrollment IDI20150717001057
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 Byrnes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services122 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07712 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
3200 SUNSET AVE, SUITE 205
OCEAN, NJ 07712
Social Worker (Clinical)
3200 SUNSET AVE, SUITE 211
OCEAN, NJ 07712
Social Worker (Clinical)
3200 SUNSET AVE, SUITE 211
OCEAN, NJ 07712
Dentist (General Practice)
3200 SUNSET AVE, SUITE 104
OCEAN, NJ 07712
Pediatrics (Pediatric Gastroenterology)
3200 SUNSET AVE, SUITE 100
OCEAN, NJ 07712
Internal Medicine
3200 SUNSET AVE, SUITE 101
OCEAN, NJ 07712
Family Medicine
3200 SUNSET AVE, SUITE 205
OCEAN, NJ 07712
Pediatrics (Pediatric Gastroenterology)
3200 SUNSET AVE, SUITE 100
OCEAN, NJ 07712

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 Byrnes's NPI number?

The NPI number for Kelly Byrnes is 1932589470. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Kelly Byrnes located?

Kelly Byrnes practices at 3200 Sunset Ave, Ocean, NJ 07712. The listed phone number is (732) 775-9000.

What is Kelly Byrnes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kelly Byrnes enrolled in Medicare?

Yes. Kelly Byrnes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Byrnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Byrnes reassigns Medicare benefits to 2 organizations: Optum Medical Care Of New Jersey PC (New Hyde Park, NY) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). 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 Byrnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Byrnes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kelly Byrnes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Byrnes affiliated with any hospitals?

According to CMS data, Kelly Byrnes is affiliated with Ocean Medical Center and Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Byrnes was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.