Individual provider Active NPI

Jacqueline Kelchlin, FNP

  • Family Nurse Practitioner
  • Binghamton, NY
National Provider Identifier
1205239530
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338983-1 Issued in NY
Practice address
225 Front St
Binghamton, NY 13905-2474
Phone
(607) 778-2815
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338983-1 NY Primary

Addresses

Primary practice location

225 Front St
Binghamton, NY 13905-2474

Mailing address

225 Front St
Binghamton, NY 13905-2474

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407001140 NY Practitioner - Nurse Practitioner 5991023798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

1 Foxcare Dr
Suite 211
Oneonta, NY 13820-2154
Phone (607) 432-2239

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F338983-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Nov 27, 2017 Accepting new patients
Broome County CurrentSince Jan 5, 2015 Accepting new patients
Broome County CurrentSince Jan 5, 2015 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 27, 2017 Accepting new patients

Locations

225 Front St
Binghamton, NY 13905
Phone (607) 778-2840

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Foxcare Dr
Ste 211
Oneonta, NY 13820
Phone (607) 431-5151

1 Foxcare Dr
Ste 103
Oneonta, NY 13820
Phone (607) 431-5757

Interoperability endpoints

  • Direct secure messaging: jkelchlin320034@bassett.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1205239530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052474",
            "telephone_number": "607-778-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELCHLIN",
        "first_name": "JACQUELINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338983-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.