Mrs Kristin Marie Kelly, ANP-C in Islandia, NY

Mrs Kristin Marie Kelly, ANP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Islandia, New York. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chs Physician Partners Pc and her current practice location is 3001 Expressway Dr N Ste 104, Islandia, New York. You can reach out to her office (for appointments etc.) via phone at (631) 758-3100.

Mrs Kristin Marie Kelly is licensed to practice in New York (license number 306529) 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 1942613203.

Contact Information

	Mrs Kristin Marie Kelly, ANP-C
	3001 Expressway Dr N Ste 104, Islandia, NY 11749-5301
	(631) 758-3100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kristin Marie Kelly
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	3001 Expressway Dr N Ste 104, Islandia, 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:

Mrs Kristin Marie Kelly graduated from nursing school in 2013

NPI Data:

NPI Number: 1942613203
Provider Enumeration Date: 06/04/2014
Last Update Date: 04/25/2018

Medicare PECOS Information:

PECOS PAC ID: 0042575227
Enrollment ID: I20180629001664

Medical Identifiers

Medical identifiers for Mrs Kristin Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942613203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	306529 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chs Physician Partners Pc	7618955667	508

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. Mrs Kristin Marie Kelly allows following entities to bill medicare on her behalf.

Entity Name	Chs Physician Partners Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164585725 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027

Entity Name	Healthsource Medical Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891028650 PECOS PAC ID: 1557495876 Enrollment ID: O20100821000005

Entity Name	Healthsource Medical Services Medford, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821319575 PECOS PAC ID: 0143413344 Enrollment ID: O20101020000911

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. Mrs Kristin Marie Kelly 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
Mrs Kristin Marie Kelly, ANP-C 7 Woodleigh Ct, Holbrook, NY 11741-2840 Ph: (631) 398-0678	Mrs Kristin Marie Kelly, ANP-C 3001 Expressway Dr N Ste 104, Islandia, NY 11749-5301 Ph: (631) 758-3100

Reviews and Comments

Nurse Practitioner Nurses in Islandia, NY

Kerry O'brien- Espinoza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Islandia, NY 11749 Phone: 631-292-6747
Maria Ann Clementi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Expressway Dr N Ste 100, Islandia, NY 11749 Phone: 631-434-1770
Sharon Shyrier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Motor Pkwy, Islandia, NY 11749 Phone: 631-855-1200 Fax: 631-630-6297
Ms. Deborah Duffy Adkins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 Phone: 631-444-3497 Fax: 631-444-1530
Anna Carroll, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Suite 104, Islandia, NY 11749 Phone: 631-435-0110 Fax: 631-435-4582
Mrs. Barbara E. Principio, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Drive North, Suite #116, Islandia, NY 11749 Phone: 631-292-6747 Fax: 631-292-6767
Katherine Kaelin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Express Dr N, Islandia, NY 11749 Phone: 631-292-6747

Mrs Kristin Marie Kelly, ANP-C - Medicare Nurse Practitioner in Islandia, NY