Individual provider Active NPI

Kelley Lynn Gilroy, APRN

  • Adult Health Nurse Practitioner
  • Wethersfield, CT
National Provider Identifier
1417735333
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
15135 Issued in CT
Practice address
1260 Silas Deane Hwy Ste 101
Wethersfield, CT 06109-4363
Phone
(860) 545-7550
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024189963 VA
Adult Health Nurse Practitioner 363LA2200X F311340 NY
Adult Health Nurse Practitioner 363LA2200X 15135 CT Primary

Addresses

Primary practice location

1260 Silas Deane Hwy Ste 101
Wethersfield, CT 06109-4363

Mailing address

1260 Silas Deane Hwy Ste 101
Wethersfield, CT 06109-4363
Phone (860) 545-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250113001157 DC Practitioner - Nurse Practitioner 0547798076 Reassigns benefits to 1 organization
I20260313001442 CT Practitioner - Nurse Practitioner 0547798076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

1260 Silas Deane Hwy
Suite 101
Wethersfield, CT 06109-4363
Phone (860) 972-3621

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F311340NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince May 1, 2026 Accepting new patients
Hartford Hospital CurrentSince May 1, 2026 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 23, 2024 Accepting new patients
Blue Ridge Pain Management Associates, PC CurrentSince Jul 22, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 23, 2024 Accepting new patients

Locations

1260 Silas Deane Hwy
Ste 101
Wethersfield, CT 06109
Phone (860) 545-7550

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

100 Knotbreak Rd
Salem, VA 24153
Phone (540) 205-3351

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECEIBD

Organizations & group practices 5

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 2

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1417735333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY STE 101",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094363",
            "telephone_number": "860-545-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY STE 101",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094363",
            "telephone_number": "860-545-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILROY",
        "first_name": "KELLEY",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024189963",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311340",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "15135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.