Individual provider Active NPI

Hillary Anne Kelly, MS, FNP-C

  • Nurse Practitioner
  • Herkimer, NY
National Provider Identifier
1386709608
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F334926 Issued in NY
Practice address
338 E. State St
Herkimer, NY 13350
Phone
(315) 619-9700
Fax
(315) 619-9701
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402440 NY
Nurse Practitioner 363L00000X F334926 NY Primary
Family Nurse Practitioner 363LF0000X F334926 NY

Addresses

Primary practice location

338 E. State St
Herkimer, NY 13350

Mailing address

207 Stroud St
338 E State Street Herkimer Ny 13350
Canastota, NY 13032
Phone (315) 619-9700

Other identifiers 2

IdentifierTypeStateIssuer
F334926F420440OtherNYSTATE LINCESE
02837938MedicaidNY

Other names 1

  • Hillary Anne Kelly-Stephens Former name

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
I20070619000208 NY Practitioner - Nurse Practitioner 3678503547 Reassigns benefits to 1 organization
Practice locations: Utica, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Mind and Wellness LLCGroup PAC ID 4688163116, 2 clinicians

Practice addresses (Care Compare)

258 Genesee St
Suite 203
Utica, NY 13502-4636
Phone (315) 790-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334926NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Mind & Wellness LLC Psychiatric/Mental Health CurrentSince Sep 8, 2025 Accepting new patients
Buffalo Beacon Corporation Past Accepting new patients
Mary Imogene Bassett Hospital Past Accepting new patients

Locations

338 E State St
Herkimer, NY 13350
Phone (315) 733-5206

258 Genesee St
Ste 203
Utica, NY 13502
Phone (315) 335-1285

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1386709608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 STROUD ST",
            "address_2": "338 E STATE STREET HERKIMER NY 13350",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "13032",
            "telephone_number": "315-619-9700",
            "fax_number": "315-619-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 E. STATE ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "13350",
            "telephone_number": "315-619-9700",
            "fax_number": "315-619-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "HILLARY",
        "middle_name": "ANNE",
        "credential": "MS, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402440",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F334926",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LINCESE",
            "identifier": "F334926F420440",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02837938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "KELLY-STEPHENS",
            "middle_name": "ANNE",
            "credential": "MS FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Herkimer, NY

Sources for this page

Verify at the official NPI Registry.