MS. SUSAN E KELLY (FNP) – Family Nurse Practitioner, NPI 1154429660

MS. SUSAN E KELLY (FNP) is a healthcare provider. based in New york, New York. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 26NJ00309500 (NJ). The NPI Number for MS. SUSAN E KELLY (FNP) is 1154429660

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUSAN E KELLY (FNP)
NPI
1154429660
Phone
(212) 746-1601
Address
630 W 168TH ST
Enumeration Date
20 September 2006
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9734020025
Graduation Year
1995 (31 years ago)
PAC ID
7618929845
Group Practice PAC ID
4486640786
Professional Enrollment ID
I20110211000830
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for MS. SUSAN E KELLY (FNP)

  • 168th Street, 630, West 168th Street, Washington Heights, Manhattan Community Board 12, Manhattan, New York County, New York, 10032, United States

    BOX 4

    NEW YORK, NY 100323725

    Phone: (212) 746-1601

    Fax: (212) 746-8978

    Type: Mailing

  • 161, Fort Washington Avenue, Washington Heights, Manhattan Community Board 12, Manhattan, New York County, New York, 10032, United States

    NEW YORK, NY 100323729

    Phone: (212) 342-5155

    Type: Location

  • 1 GATEWAY CTR STE 2600

    NEWARK, NJ 071025323

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $382.

Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: PFIZER INC. ($102).

Total Amount

$382

General + Research + Ownership

Payments

23

Total payment records

General Amount

$382

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110211000830INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes244171$0
99214Established patient office or other outpatient visit, 30-39 minutes12486$0
87804Detection test by immunoassay with direct visual observation for influenza virus6231$0
99497Advance care planning, first 30 minutes6060$0
G0442Annual alcohol misuse screening, 5 to 15 minutes6060$0
View full utilization report →

Insurance plans in this area (ZIP 10032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486640786View full group profile
NameSpecialtyState
Family PracticeNJ
Family PracticeNY
-NJ
Family PracticeNJ

Reviews

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Frequently asked questions

What federal number belongs to MS. SUSAN E KELLY (FNP)?
The federal identifier for MS. SUSAN E KELLY (FNP) is NPI 1154429660.
Does this profile mean MS. SUSAN E KELLY (FNP) is currently active?
Yes — MS. SUSAN E KELLY (FNP) appears active in the national provider directory.
What does MS. SUSAN E KELLY (FNP) treat or focus on?
Patients typically see MS. SUSAN E KELLY (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. SUSAN E KELLY (FNP)'s primary listing?
We display New York, New York because that is what the record indicates for MS. SUSAN E KELLY (FNP).
How can I contact MS. SUSAN E KELLY (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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