Susan McKernan McKelvey, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F336915-1 Issued in NY

Practice address

905 Hanshaw Rd
Ithaca, NY 14850-1549

Phone

(607) 273-6757

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

State University of New York Downstate Medical Center, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
• Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
• Schuyler Hospital Hospital, Montour Falls, NY, CCN 331313
• Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

82.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smckelvey27539@direct.xtensys.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.

• Cayuga Medical Associates, PC

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1679525455
  Medicare reassignment Care Compare group NPD
• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment NPD

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

• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661
  Care Compare affiliation
• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation
• Schuyler Hospital Inc

  • Critical Access Hospital
  • Montour Falls, NY
  • NPI 1639150477
  Care Compare affiliation
• Robert Packer Hospital

  • General Acute Care Hospital
  • Sayre, PA
  • NPI 1083614382
  Care Compare affiliation
• Robert Packer Hospital

  • General Acute Care Hospital
  • Towanda, PA
  • NPI 1134734528
  Care Compare affiliation

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1669760682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HANSHAW RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501549",
            "telephone_number": "607-342-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HANSHAW RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501549",
            "telephone_number": "607-273-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELVEY",
        "first_name": "SUSAN",
        "middle_name": "MCKERNAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336915-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelda Nicole McGurk, OT
• Deborah D McIntyre, RN NP
• Laurel Anna McIntyre, LMHC
• Penny McKane, RN
• Christian Heather McKeithen, PA
• Jennifer Michele McKeon, PHD, ATC, CSCS
• Nancy McKeon
• Patrick Owen McKeon, PHD, ATC, CSCS
• Beth Suzanne McKinney, RDN
• Kjersten Lydia McKinniss, ATC

• Family Nurse Practitioner in Ithaca, NY
• Providers in Ithaca, 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 Sep 28, 2020; 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.