Kelley Elizabeth Nash, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

405689 Issued in NY

Practice address

1641 3Rd St FL 2
Rensselaer, NY 12144-1539

Phone

(518) 463-8869

Fax

(518) 463-8733

NPI assigned

Jul 9, 2010

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kelley Elizabeth Sicley Former name

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians

Rensselaer County Bureau of FinanceGroup PAC ID 0749176923, 19 clinicians

Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians

Partners Medical Group PLLCGroup PAC ID 5092155937, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 31)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Physician Services PLLC

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1194132415
  Medicare reassignment Care Compare group NPD
• Partners Medical Group, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Getzville, NY
  • NPI 1184305153
  Medicare reassignment Care Compare group NPD
• Physician Mobile Medical Care PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1518765502
  Medicare reassignment Care Compare group NPD
• Rensselaer County Bureau of Finance

  • Mental Health Counselor
  • Troy, NY
  • NPI 1932130358
  Medicare reassignment Care Compare group NPD
• Care Connect Medical P.C.

  • General Practice Physician
  • Tarrytown, NY
  • NPI 1457032328
  Medicare reassignment NPD
• Community Care Physicians, PLLC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1922048370
  Medicare reassignment NPD
• Genesis Medical Health PC

  • General Practice Physician
  • Spring Valley, NY
  • NPI 1295043099
  Medicare reassignment NPD
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1275962011
  Medicare reassignment NPD
• Minzer Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1629831011
  Medicare reassignment NPD
• St. Peter's Health Partners Medical Associates, P.C.

  • Multi-Specialty Clinic/Center
  • Albany, NY
  • NPI 1750626834
  Medicare reassignment NPD
• Supportive Care Psychiatry of Ny PC

  • Clinical Psychologist
  • Fresh Meadows, NY
  • NPI 1740994433
  Medicare reassignment
• JDS Medical Services PC

  • Emergency Medicine Physician
  • Englewood, NJ
  • NPI 1174224653

  NY

  Medicare reassignment

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1376855114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NORTONVILLE RD",
            "city": "VALLEY FALLS",
            "state": "NY",
            "postal_code": "12185",
            "telephone_number": "518-805-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 3RD ST FL 2",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121441539",
            "telephone_number": "518-463-8869",
            "fax_number": "518-463-8733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Hackett Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083436",
            "country_code": "US",
            "telephone_number": "518-262-3341",
            "fax_number": "518-262-6660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "KELLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430505",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405689",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "517355",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03635018",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "SICLEY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dru Murray
• Debbie Myers
• Marcie Nagengast
• Anthony G Nappi, M.D.
• Barbara Nash
• National Vision, Inc.
• Wendy Neifeld Wheeler, LMHC
• Nancy Nelson
• Chrysothemis F Nesbitt, M.D.
• New Focus Physical Therapy, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Rensselaer, NY
• Providers in Rensselaer, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.