Grace Katherine Kelly, DNP, FNP in Orchard Park, NY

Grace Katherine Kelly, DNP, FNP is a medicare enrolled "Nurse Practitioner - Family" in Orchard Park, New York. Her current practice location is 200 Sterling Dr, Orchard Park, New York. You can reach out to her office (for appointments etc.) via phone at (716) 250-2000.

Grace Katherine Kelly is licensed to practice in New York (license number 343169) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578058301.

Contact Information

	Grace Katherine Kelly, DNP, FNP
	200 Sterling Dr, Orchard Park, NY 14127-1577
	(716) 250-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Grace Katherine Kelly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	200 Sterling Dr, Orchard Park, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578058301
Provider Enumeration Date: 06/25/2018
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4880943539
Enrollment ID: I20180814002638

Medical Identifiers

Medical identifiers for Grace Katherine Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578058301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP021142 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	343169 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Grace Katherine Kelly allows following entities to bill medicare on her behalf.

Entity Name	Fpa Hospital Based
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grace Katherine Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Grace Katherine Kelly, DNP, FNP 3980 Sheridan Dr, Amherst, NY 14226-1727 Ph: (716) 250-2000	Grace Katherine Kelly, DNP, FNP 200 Sterling Dr, Orchard Park, NY 14127-1577 Ph: (716) 250-2000

Reviews and Comments

Nurse Practitioner Nurses in Orchard Park, NY

Karen A. Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3320 N. Benzing Rd., Orchard Park, NY 14127 Phone: 716-972-0300 Fax: 716-972-0309
Amy Kotarski, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3055 Southwestern Blvd Ste 110, Orchard Park, NY 14127 Phone: 716-903-6036 Fax: 716-463-2225
Jilliann Marie Smith, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-656-4478 Fax: 716-250-5956
Ms. Lori Ann Dimillo, P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3560 N Buffalo St, Orchard Park, NY 14127 Phone: 716-662-8510 Fax: 716-662-8574
Mrs. Lindsey O'donnell, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1154, Orchard Park, NY 14127 Phone: 443-867-7507
Margaret Mayer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Carriage Dr Apt 3, Orchard Park, NY 14127 Phone: 716-803-5088
Kathryn Gordon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3671 Southwestern Blvd, 101, Orchard Park, NY 14127 Phone: 716-662-7008 Fax: 716-662-5226

Grace Katherine Kelly, DNP, FNP - Medicare Nurse Practitioner in Orchard Park, NY