KELLI RENEE WILDER-OUTLAW NP
NPI 1952897779
Nurse Practitioner - Acute Care in Rochester, NY
About Kelli Renee Wilder-outlaw Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI RENEE WILDER-OUTLAW NP (NPI 1952897779) is an individual acute care provider in Rochester, New York, licensed in New York (F431324) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Kelli Renee Wilder-outlaw Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelli Wilder-outlaw reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 211 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 1,624 clinicians in this Medicare group
Canandaigua, NY 14424
- Reassigned Medicare billing, New York enrollment
- 347 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
F F Thompson Hospital
Acute Care Hospitals · Canandaigua, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
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 Kelli Wilder-outlaw's NPI number?
The NPI number for Kelli Wilder-outlaw is 1952897779. It was assigned to this individual provider in the NPPES registry on July 4, 2018.
Where is Kelli Wilder-outlaw located?
Kelli Wilder-outlaw practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-6026.
What is Kelli Wilder-outlaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelli Wilder-outlaw enrolled in Medicare?
Yes. Kelli Wilder-outlaw 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 Kelli Wilder-outlaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Wilder-outlaw reassigns Medicare benefits to 3 organizations: U Of R Neurology Department (Rochester, NY), University Of Rochester (Rochester, NY) and The Frederick Ferris Thompson Hospital (Canandaigua, NY). 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 Kelli Wilder-outlaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelli Wilder-outlaw affiliated with any hospitals?
According to CMS data, Kelli Wilder-outlaw is affiliated with F F Thompson Hospital.
When was this NPI record last updated?
The NPPES record for Kelli Wilder-outlaw was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kelli Renee Wilder-Outlaw, NP · NPI 1952897779
Acute Care physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since July 4, 2018.
## Identity
- **NPI:** 1952897779 (Entity type: Individual)
- **Enumerated:** July 4, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** F431324 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ELMWOOD AVE, Rochester, NY 14642-0001
- **Phone:** (585) 275-6026
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): U Of R Neurology Department (NPI 1184725525, Rochester, NY); University Of Rochester (NPI 1346285657, Rochester, NY); The Frederick Ferris Thompson Hospital (NPI 1194776351, Canandaigua, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1952897779) · Data from the CMS NPPES public registry.