Kelly J Hirsch, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

334759 Issued in NY

Practice address

3 Technology PL
Homer, NY 13077-1526

Phone

(607) 753-3774

Fax

(607) 753-3947

NPI assigned

Nov 17, 2005

Last updated

Jul 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Network of Central New York, Inc.Group PAC ID 2668385014, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.hirsch.1@28343.direct.athenahealth.com
• Direct secure messaging: khirsch122148@direct.upstate.edu
• Direct secure messaging: khirsch161624@direct-guthrie.org

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.

• Family Health Network of Central New York, Inc.

  • Federally Qualified Health Center (FQHC)
  • Homer, NY
  • NPI 1043374853
  Medicare reassignment Care Compare group NPD
• Suny Health Science Center at Syracuse

  dba Upstate University Hospital

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1184974529
  Medicare reassignment
• Family Health Network of Central New York, Inc.

  dba Family Health Network Mobile Van

  • Federally Qualified Health Center (FQHC)
  • Homer, NY
  • NPI 1780633982
  NPD
• Guthrie Cortland Medical Center

  • General Acute Care Hospital
  • Cortland, NY
  • NPI 1740287531
  NPD (past)
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guthrie Cortland Medical Center

  • General Acute Care Hospital
  • Cortland, NY
  • NPI 1740287531
  Care Compare affiliation

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1619959343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771542",
            "telephone_number": "607-753-3797",
            "fax_number": "607-218-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TECHNOLOGY PL",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771526",
            "telephone_number": "607-753-3774",
            "fax_number": "607-753-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 S West St",
            "address_purpose": "LOCATION",
            "city": "Homer",
            "state": "NY",
            "postal_code": "130771542",
            "country_code": "US",
            "telephone_number": "607-753-3797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334759",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381523 1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000926203001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02597780",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL CARRIERS",
            "identifier": "161010811",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3 Technology Pl",
            "city": "Homer",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130771526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grandma's Wish
• Alison Jane Guy, RN
• Melissa Sue Harris, RN
• Matthew Douglas Hartl, COTA
• Ehren Paul Heyer, PT, DPT
• Homer Central School District
• Homer Chiropractic, PC
• Homer Physical Therapy, PC (Heyer Physical Therapy)
• Katherine Hughes
• Intuitive Psychotherapy, LCSW, PLLC

• Family Nurse Practitioner in Homer, NY
• Providers in Homer, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.