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KELLY JO GURSSLIN FNP - C
NPI 1972916799
Nurse Practitioner - Family in Penfield, NY

Active since June 09, 2014PECOS EnrolledAccepts Medicare Assignment
82.52/100
CMS Quality Rating
2200 PENFIELD RD, PENFIELD, NY 14526(585) 922-0460 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Jo Gursslin Fnp - C NPPES

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

KELLY JO GURSSLIN FNP - C (NPI 1972916799) is an individual family provider in Penfield, New York, licensed in New York (F338562-1) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1972916799
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY JO GURSSLINCredential: FNP - C
Location Address2200 PENFIELD RDPenfield, NY 14526-1711
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-1900
Phone(585) 922-0460
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 9, 2014
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1972916799 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 · F338562-1
2200 PENFIELD RD, Penfield, NY 14526
Open in Google Maps ↗

Secondary Practice Location 1

Location 1560 White Spruce BlvdRochester, NY 14623-1613 · Phone (585) 258-7948 · Fax (585) 271-6132

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

Kelly Jo Gursslin Fnp - C 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 ID6406175231
PECOS Enrollment IDI20150429001407
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.

Areas of Expertise CMS Part B claims 3

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.
78 services62 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.
28 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services16 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14526 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

82.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost41.75

Other Providers at the Same Location NPPES 15

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

MATTHEW BYRNES NP
Nurse Practitioner
2200 PENFIELD RD
PENFIELD, NY 14526
Monroe County (585) 922-0460
TRACY WEMPLE
Registered Nurse (Case Management)
2200 PENFIELD RD
PENFIELD, NY 14526
Monroe County (585) 922-0084
MR. FLETCHER REID MATTHES L.M.T.
Massage Therapist
2200 PENFIELD RD, AT LIFETIME FITNESS
PENFIELD, NY 14526
Monroe County (585) 732-2032
JEFFREY DANIEL BOUVY FNP-C
Nurse Practitioner (Family)
2200 PENFIELD RD
PENFIELD, NY 14526
Monroe County (585) 988-5280
DR. KAYLEIGH MATESIC PHARMD
Pharmacist
2200 PENFIELD RD
PENFIELD, NY 14526
Monroe County (585) 377-6170
JON ERIC LIPPERT PT, DPT
Physical Therapist
2200 PENFIELD RD
PENFIELD, NY 14526
Monroe County (585) 377-9626
ANA ARAP NP
Nurse Practitioner (Family)
2200 PENFIELD RD
PENFIELD, NY 14526
Monroe County (585) 922-0060
NANCY YANI MD
Family Medicine
2200 PENFIELD RD
PENFIELD, NY 14526
Monroe County (585) 922-0060

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 Gursslin's NPI number?

The NPI number for Kelly Gursslin is 1972916799. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Kelly Gursslin located?

Kelly Gursslin practices at 2200 Penfield Rd, Penfield, NY 14526. The listed phone number is (585) 922-0460.

What is Kelly Gursslin's specialty?

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

Is Kelly Gursslin enrolled in Medicare?

Yes. Kelly Gursslin 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.

Is Kelly Gursslin affiliated with any hospitals?

According to CMS data, Kelly Gursslin is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Gursslin was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.