Active NPI
Kelly Marie Kraus, FNP-C
- Family Nurse Practitioner
- Binghamton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 340882
- Practice address
- 169 Riverside Dr
Binghamton, NY 13905-4246 - Phone
- (607) 798-5111
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 340882 | NY | |
| Family Nurse Practitioner | 363LF0000X | 340882 | NY | Primary |
Addresses
Primary practice location
169 Riverside Dr
Binghamton, NY 13905-4246
Mailing address
169 Riverside Dr
Binghamton, NY 13905-4246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Erie Blvd E
Syracuse, NY 13210-1212
Phone (315) 401-3204
3800 W Genesee St
Syracuse, NY 13219-1928
Phone (315) 552-9080
3840 State Route 31
Liverpool, NY 13090-1310
Phone (315) 715-6319
446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496
4995 Wintersweet Dr
Liverpool, NY 13088-2176
Phone (315) 401-3210
6870 E Genesee St
Fayetteville, NY 13066-1031
Phone (315) 679-4367
7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064
8003 Brewerton Rd
Cicero, NY 13039-9528
Phone (315) 288-4006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340882 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port City Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
| Exigence Medical of Binghamton PLLC | Current | Accepting new patients | |
| Port City Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
| Our Lady of Lourdes Memorial Hospital, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Port City Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients |
Locations
271 Grant Ave
Auburn, NY 13021
Phone (315) 704-6097
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
500 5th Ave
Owego, NY 13827
Phone (607) 687-1122
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Emergency Medical Services (Emergency Medicine) Physician
- Binghamton, NY
- NPI 1659464758
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Emergency Medicine Physician
- Oswego, NY
- NPI 1134370547
Nurse Practitioner
-
- Family Medicine Physician
- Binghamton, NY
- NPI 1063557189
Nurse Practitioner
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
-
- Emergency Medicine Physician
- Hamilton, NY
- NPI 1316395460
Nurse Practitioner
-
- Emergency Medicine Physician
- Fulton, NY
- NPI 1548402530
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1154875904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 RIVERSIDE DR",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 RIVERSIDE DR",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054246",
"telephone_number": "607-798-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "KELLY",
"middle_name": "MARIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-10",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "340882",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "340882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.