Peter J. Kelley, MS, FNP
Individual provider Active NPI Family Nurse Practitioner · Corfu, NY
NPI 1689630725 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1689630725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F334368 (NY)
- Practice address
- 860 Main Rd
Corfu, NY 14036-9753 - Phone
- (585) 599-6446
- Fax
- (585) 599-3166
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- State University of New York at Buffalo School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christopher E Beney MD PC
Practice addresses (Care Compare)
1149 Lincoln Ave
Lockport, NY 14094-6152
Phone (716) 433-2674
Hospital & facility affiliations
- Mount St. Mary'S Hospital & Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.79 of 100
- Quality
- 89.94
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 82.5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050822000169 | NY | Practitioner - Nurse Practitioner | 8426088253 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334368 | NY | MD | Internal Medicine Physician |
| F334368 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Orthopaedics, LLP | Current |
Accepting new patients | |
| Christopher E. Beney, MD, PC | Family | Current |
Accepting new patients |
| Excelsior Orthopaedics LLP | Current |
Accepting new patients | |
| Wellnow Urgent Care, PC | Current |
Accepting new patients |
Locations
3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
1149 Lincoln Ave
Lockport, NY 14094
Phone (716) 433-2674
Interoperability endpoints
- pkelley@drbeney.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F334368 | NY | Yes |
Addresses
Primary practice location
860 Main Rd
Corfu, NY 14036-9753
Mailing address
860 Main Rd
Corfu, NY 14036-9753
Phone (585) 599-6446
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02564583 | Medicaid | NY |
Other providers in Corfu, NY
- Sara N Hall
- Barbara Hartnett Elsenbeck
- Ronald Jagord
- Dawn Jaszko
- Maryann Job
- Deborah Kern
- Tricia Ann Levinstein
- Karen C. Lewandowski
- Autumn Martin
- Mary Obear MD PLLC
All providers in Corfu, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.