Individual provider Active NPI

Amy Kelly, CFNP

  • Family Nurse Practitioner
  • Wappingers Falls, NY
National Provider Identifier
1467486811
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331971 Issued in NY
Practice address
1323 Route 9
Suite 204
Wappingers Falls, NY 12590-4904
Phone
(845) 298-7022
Fax
(845) 298-7022
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 F331971 NY Primary

Addresses

Primary practice location

1323 Route 9
Suite 204
Wappingers Falls, NY 12590-4904

Mailing address

1323 Route 9
Suite 204
Wappingers Falls, NY 12590-4904
Phone (845) 298-7022

Other identifiers 1

IdentifierTypeStateIssuer
02043043MedicaidNY

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
I20110203000367 NY Practitioner - Nurse Practitioner 1456531755 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F331971NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Primary Medical Care CurrentSince Nov 10, 2010 Accepting new patients

Locations

1323 Route 9
Ste 204
Wappingers Fl, NY 12590
Phone (845) 298-7022

Interoperability endpoints

  • Direct secure messaging: amy.kelly@hvpc.eclinicaldirectplus.com

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467486811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 ROUTE 9",
            "address_2": "SUITE 204",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904904",
            "telephone_number": "845-298-7022",
            "fax_number": "845-298-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 ROUTE 9",
            "address_2": "SUITE 204",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904904",
            "telephone_number": "845-298-7022",
            "fax_number": "845-298-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "AMY",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02043043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.