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MS. KELLY MARIE RAUSCH PNP
NPI 1982703674
Nurse Practitioner - Pediatrics in Buffalo, NY

Active since September 21, 2006PECOS Enrolled
1021 BROADWAY ST, BUFFALO, NY 14212(716) 852-1578(716) 852-5154 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Kelly Marie Rausch Pnp NPPES

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

MS. KELLY MARIE RAUSCH PNP (NPI 1982703674) is an individual pediatrics provider in Buffalo, New York, licensed in New York (F381753) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982703674
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. KELLY MARIE RAUSCHCredential: PNP
Location Address1021 BROADWAY STBuffalo, NY 14212-1460
Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0034 · Fax (716) 323-0292
Phone(716) 852-1578
Fax(716) 852-5154
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1982703674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F381753
Also ListedRegistered NurseTaxonomy 163W00000X · License 441200 (NY)
1021 BROADWAY ST, Buffalo, NY 14212
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Other Identifiers 6

Other000560953001NY · Bc/bs
Other050816000026NY · Fidelis
Other00027206901NY · Univera
Medicaid02665525NY
Other9512852NY · Iha
Other080407000087NY · Fidelis

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Marie Rausch Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Rausch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaleida Health
1.6 mi
Diagnostic Radiology
100 HIGH ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1427870070 (716) 859-7200
University At Buffalo Pediatric Associates Inc
1.7 mi
Pediatrics
1001 MAIN ST FL 4
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 217 clinicians in this Medicare group
NPI 1912928599 (716) 323-0225

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 14212 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.

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.

ASHLEY L WYANT PA-C
Physician Assistant
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-2030
ALEXANDRA ISABELLA YACUB
Nurse Practitioner (Family)
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-3020
EDWARD REVERE
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 662-2040
SHIVANI SHASHI KUMAR NAYAK
Counselor (Mental Health)
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 348-3000
MS. CYNTHIA CATHERINE BRAUER FAMILY PEER ADVOCATE
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 886-1242
SHANAZHA C HOBBS
Social Worker
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-3020
LALITA LASHON ALEXANDER MSN RN FNP-C
Nurse Practitioner (Family)
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-3020
JULIANNA HILL
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 886-1242

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 Rausch's NPI number?

The NPI number for Kelly Rausch is 1982703674. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Kelly Rausch located?

Kelly Rausch practices at 1021 Broadway St, Buffalo, NY 14212. The listed phone number is (716) 852-1578.

What is Kelly Rausch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Rausch enrolled in Medicare?

Yes. Kelly Rausch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Rausch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Rausch reassigns Medicare benefits to 2 organizations: Kaleida Health (Buffalo, NY) and University At Buffalo Pediatric Associates Inc (Buffalo, 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 Kelly Rausch'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 Kelly Rausch was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.