Kelly Wilmarth, C-FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

338979 Issued in NY

Practice address

401 Main St Ste 1
Johnson City, NY 13790-2065

Phone

(607) 754-9870

Fax

(607) 785-9862

NPI assigned

Jul 24, 2014

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellywilmarthfnp@wobgyn.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.

• Our Lady of Lourdes Memorial Hospital Inc.

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1629087580
  Medicare reassignment NPD
• Womens OBGYN PC

  • Obstetrics & Gynecology Physician
  • Johnson City, NY
  • NPI 1083079198
  Medicare reassignment NPD
• Obstetrical-Gynecological Associates of the Southern Tier, P.C.

  • Obstetrics & Gynecology Physician
  • Endicott, NY
  • NPI 1760433361
  NPD
• Our Lady of Lourdes Memorial Hospital, Inc.

  • Family Medicine Physician
  • Binghamton, NY
  • NPI 1063557189

  Nurse Practitioner

  NPD
• Our Lady of Lourdes Memorial Hospital, Inc.

  • Specialty Pharmacy
  • Johnson City, NY
  • NPI 1730982596
  NPD
• Twin Tier Pathology Associates, PC

  • Clinical Pathology/Laboratory Medicine Physician
  • Binghamton, NY
  • NPI 1770577470
  NPD

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1588072474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAIN ST STE 1",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902065",
            "telephone_number": "607-754-9870",
            "fax_number": "607-785-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST STE 1",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902065",
            "telephone_number": "607-754-9870",
            "fax_number": "607-785-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMARTH",
        "first_name": "KELLY",
        "credential": "C-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "338979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olayinka O Wilhelm, MD
• Alexander Williams
• Kord Williams, F.N.P
• Lisa Williams, OTR-L
• Christopher Devon Williamson, PA-C
• Mark Vincent Wilson, MD
• Rhonda Marie Winner-Dodzweit, COTA
• Jeffrey Scott Wiseman, M.D.
• Kathleen Joan Wold, ANP EDD
• Michael Wolff, MD

• Nurse Practitioner in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.