Kelly Ann Yale-suda, RN, GRADUATE NP in Johnson City, NY

Kelly Ann Yale-suda, RN, GRADUATE NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Johnson City, New York. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Our Lady Of Lourdes Memorial Hospital Inc and her current practice location is 30 Harrison St Ste 355, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 763-8102.

Kelly Ann Yale-suda is licensed to practice in New York (license number 309912) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447872817.

Contact Information

	Kelly Ann Yale-suda, RN, GRADUATE NP
	30 Harrison St Ste 355, Johnson City, NY 13790-2162
	(607) 763-8102
	(607) 763-8018

Map and Direction

Provider's Profile

Full Name	Kelly Ann Yale-suda
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	30 Harrison St Ste 355, Johnson City, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Ann Yale-suda graduated from nursing school in 2020

NPI Data:

NPI Number: 1447872817
Provider Enumeration Date: 05/08/2020
Last Update Date: 11/18/2025

Medicare PECOS Information:

PECOS PAC ID: 5799105938
Enrollment ID: I20201009000233

Medical Identifiers

Medical identifiers for Kelly Ann Yale-suda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447872817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	309912 (New York)	Primary
363L00000X	Nurse Practitioner	309912 (New York)	Secondary
163W00000X	Registered Nurse	587887 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lourdes Hospital	Binghamton, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of Lourdes Memorial Hospital Inc	1254237779	230

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Ann Yale-suda allows following entities to bill medicare on her behalf.

Entity Name	Our Lady Of Lourdes Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ann Yale-suda is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Ann Yale-suda, RN, GRADUATE NP 169 Riverside Dr, Binghamton, NY 13905-4246 Ph: (607) 352-3550	Kelly Ann Yale-suda, RN, GRADUATE NP 30 Harrison St Ste 355, Johnson City, NY 13790-2162 Ph: (607) 763-8102

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, NY

Jennifer Anne Shattuck, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-7811
Ashley N Hammond, MS, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5064
Rachel Marie Skovira, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790 Phone: 607-763-6580 Fax: 607-763-6782
Victoria Elizabeth Mcmanus, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 Harry L Dr Ste 110, Johnson City, NY 13790 Phone: 607-729-5805 Fax: 607-729-7714
Kaylyn Malenda, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5064
Alissa Giammarino, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Harrison St, Johnson City, NY 13790 Phone: 607-729-4942 Fax: 607-729-7516
Mrs. Linda Lafontaine Peterson, PRIMARY CARE NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 286 Dego Hill Road, United Methodist Homes Hilltop Campus, Johnson City, NY 13790 Phone: 607-798-7818 Fax: 607-798-9382

Kelly Ann Yale-suda, RN, GRADUATE NP - Medicare Nurse Practitioner in Johnson City, NY