TIA ANN-PATRICE KELLMAN AGACNP-BC
NPI 1972230779
Nurse Practitioner - Acute Care in New York, NY
About Tia Ann-patrice Kellman Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIA ANN-PATRICE KELLMAN AGACNP-BC (NPI 1972230779) is an individual acute care provider in New York, New York, licensed in New York (F432340) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
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 and accepts Medicare assignment
Tia Ann-patrice Kellman Agacnp-bc 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
4Medicare enrollment records show Tia Kellman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 315 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 259 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 452 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 514 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.
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 Tia Kellman's NPI number?
The NPI number for Tia Kellman is 1972230779. It was assigned to this individual provider in the NPPES registry on August 2, 2022.
Where is Tia Kellman located?
Tia Kellman practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.
What is Tia Kellman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Tia Kellman enrolled in Medicare?
Yes. Tia Kellman 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 Tia Kellman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tia Kellman reassigns Medicare benefits to 4 organizations: Memorial Medical Consultation Group (New York, NY), Memorial Developmental Chemo Group (New York, NY), Mskcc Surgery Group (New York, NY) and Memorial Solid Tumor Group (New York, 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 Tia Kellman'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 Tia Kellman was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tia Ann-Patrice Kellman, AGACNP-BC · NPI 1972230779
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 2, 2022.
## Identity
- **NPI:** 1972230779 (Entity type: Individual)
- **Enumerated:** August 2, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** F432340 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-2000
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Memorial Medical Consultation Group (NPI 1053382523, New York, NY); Memorial Developmental Chemo Group (NPI 1912978487, New York, NY); Mskcc Surgery Group (NPI 1699766261, New York, NY); Memorial Solid Tumor Group (NPI 1699746172, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 19, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1972230779) · Data from the CMS NPPES public registry.