Kelly Jo Gursslin, FNP - C in Penfield, NY - Medicare Nurse Practitioner

Kelly Jo Gursslin, FNP - C is a medicare enrolled "Nurse Practitioner - Family" in Penfield, New York. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lattimore Primary Care Medicine Pllc and her current practice location is 2200 Penfield Rd, Penfield, New York. You can reach out to her office (for appointments etc.) via phone at (585) 922-0460.

Kelly Jo Gursslin is licensed to practice in New York (license number F338562-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972916799.

Contact Information

	Kelly Jo Gursslin, FNP - C
	2200 Penfield Rd, Penfield, NY 14526-1711
	(585) 922-0460
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Jo Gursslin
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	2200 Penfield Rd, Penfield, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Jo Gursslin graduated from nursing school in 2013

NPI Data:

NPI Number: 1972916799
Provider Enumeration Date: 06/09/2014
Last Update Date: 06/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6406175231
Enrollment ID: I20150429001407

Medical Identifiers

Medical identifiers for Kelly Jo Gursslin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972916799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F338562-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hcr / Hcr Home Care Chha (rochester)	Rochester, NY	Home health agency
Strong Memorial Hospital	Rochester, NY	Hospital
Rochester General Hospital	Rochester, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lattimore Primary Care Medicine Pllc	6800020793	5

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. Kelly Jo Gursslin allows following entities to bill medicare on her behalf.

Entity Name	Rochester General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644

Entity Name	Western New York Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598

Entity Name	Lattimore Primary Care Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730421272 PECOS PAC ID: 6800020793 Enrollment ID: O20131008001542

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. Kelly Jo Gursslin 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
Kelly Jo Gursslin, FNP - C 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: (585) 922-1900	Kelly Jo Gursslin, FNP - C 2200 Penfield Rd, Penfield, NY 14526-1711 Ph: (585) 922-0460

Reviews and Comments

Nurse Practitioner Nurses in Penfield, NY

Matthew Byrnes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Penfield Rd, Penfield, NY 14526 Phone: 585-922-0460 Fax: 585-385-0470
Landyn Rae Sprague, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1835 Fairport Nine Mile Point Rd, Penfield, NY 14526 Phone: 585-758-0777
Stacy Danielle Judd, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2212 Penfield Rd Ste 100, Penfield, NY 14526 Phone: 585-598-8505
Melissa Pakusch, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43 Willow Pond Way Ste 200, Penfield, NY 14526 Phone: 585-377-5420
Kelly Battoglia, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Willow Pond Way Ste 100, Penfield, NY 14526 Phone: 585-641-0399
Frances Mccarthy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 48 Coachman Dr, Penfield, NY 14526 Phone: 585-259-4533
Jason Joseph Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Meadowlark Dr, Penfield, NY 14526 Phone: 585-456-9148

Kelly Jo Gursslin, FNP - C - Medicare Nurse Practitioner in Penfield, NY