Kaelyn Pillmore, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349971 Issued in NY

Practice address

1614 N James St
Rome, NY 13440-2830

Phone

(315) 338-7284

Fax

(315) 338-7286

NPI assigned

Jul 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: kpillmore@rmh.medalliesdirect.net
• Direct secure messaging: kpillmore@rmhclinics.medentdirect.com

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.

• Middletown Medical PC

  • Emergency Medicine Physician
  • Middletown, NY
  • NPI 1902855828
  Medicare reassignment Care Compare group NPD
• Middletown Medical PC

  • Cardiac Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1174201529
  NPD
• Rome Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Rome, NY
  • NPI 1376546440
  NPD

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

• Garnet Health Medical Center

  • General Acute Care Hospital
  • Middletown, NY
  • NPI 1609875772
  Care Compare affiliation

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1205562170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574500",
            "telephone_number": "315-362-5129",
            "fax_number": "315-362-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402830",
            "telephone_number": "315-338-7284",
            "fax_number": "315-338-7286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 W Dominick St",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134405856",
            "country_code": "US",
            "telephone_number": "315-338-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILLMORE",
        "first_name": "KAELYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Kathleen Philley, NP-C
• Eleanor Picente, LCSW, ACSW
• Robert Firth Pickels Jr., MD
• Lauren Pierson, O.D.
• Mary Rose Pike, REGISTERED NURSE
• Courtney Nicole Pineau, M.D
• Kelly Marie Platt, PA-C
• Dana Marie Podkowka, LMSW
• Nichole Elizabeth Pollard, OD
• Kimberly Pomeroy

• Family Nurse Practitioner in Rome, NY
• Providers in Rome, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.

Verify at the official NPI Registry.