ROBERTA MAY KELLY FNP
NPI 1962428904
Nurse Practitioner - Family in Bronx, NY

Q: What is Roberta Kelly's NPI number?

The NPI number for Roberta Kelly is 1962428904. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Roberta Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Roberta Kelly was last updated on June 3, 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.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

1543 INWOOD AVE, BRONX, NY 10452(718) 681-8700(718) 294-4765 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roberta May Kelly Fnp NPPES

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

ROBERTA MAY KELLY FNP (NPI 1962428904) is an individual family provider in Bronx, New York, licensed in New York (334983) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1962428904

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameROBERTA MAY KELLYCredential: FNP

Location Address1543 INWOOD AVEBronx, NY 10452-2001

Mailing Address3 Dunderberg Rd.Tomkins Cove, NY 10986-1003 · (845) 270-2793

Phone(718) 681-8700

Fax(718) 294-4765

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 14, 2006

Last NPPES UpdateJune 3, 2020

NPPES CertifiedJune 3, 2020

✔ NPI 1962428904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 334983

1543 INWOOD AVE, Bronx, NY 10452

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roberta May Kelly Fnp 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 ID6305014804

PECOS Enrollment IDI20110728000427

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10452 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.

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.

MS. MARISOL MARTINEZ LCSW

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