Individual provider Active NPI

Kelly B Farnan, NP

  • Registered Nurse
  • Schoharie, NY
National Provider Identifier
1861485534
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
389496-1 Issued in NY
Practice address
284 Main Street Suite 320
Schoharie, NY 12157
Phone
(518) 295-8336
Fax
(518) 295-8724
NPI assigned
Aug 26, 2005
Last updated
Sep 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400553 NY
Registered Nurse 163W00000X 389496-1 NY Primary

Addresses

Primary practice location

284 Main Street Suite 320
Schoharie, NY 12157

Mailing address

284 Main Street Suite 320 Box 160
3Rd Floor
Schoharie, NY 12157
Phone (518) 295-8336

Other identifiers 1

IdentifierTypeStateIssuer
02153079MedicaidNY

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
I20050214000651 NY Practitioner - Nurse Practitioner 9436101813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Schoharie CountyGroup PAC ID 6507816741, 7 clinicians

Practice addresses (Care Compare)

1 Atwell Rd
Cooperstown, NY 13326-1394

105 Campus Dr
Oneonta, NY 13820-6175
Phone (607) 286-7171

113 Park PL
Schoharie, NY 12157-5211
Phone (518) 295-8336

15 Turner LN
Edmeston, NY 13335-0015
Phone (607) 965-8900

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
389496-1NYMDRegistered Nurse
400553NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Jun 5, 1998 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jun 5, 1998 Accepting new patients
Schoharie County Current Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

113 Park Pl
Schoharie, NY 12157
Phone (518) 295-2031

113 Park Pl
Ste 1
Schoharie, NY 12157
Phone (518) 295-2031

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • Direct secure messaging: kfarnan6236@bassett.direct-ci.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1861485534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MAIN STREET SUITE 320 BOX 160",
            "address_2": "3RD FLOOR",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "12157",
            "telephone_number": "518-295-8336",
            "fax_number": "518-295-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MAIN STREET SUITE 320",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "12157",
            "telephone_number": "518-295-8336",
            "fax_number": "518-295-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNAN",
        "first_name": "KELLY",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400553",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "389496-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02153079",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schoharie, NY

Sources for this page

Verify at the official NPI Registry.