Jacqueline A. Kelly, NP
NPI 1558855296ActiveIndividual· Nurse Practitioner· Syracuse, NY
Nurse Practitioner (NP) in Syracuse, New York, licensed in NY and NC, with an NPI issued in June 2018. Part D covered 48 prescriptions written in 2024, 90% of them generic.
Overview
| NPI | 1558855296 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jun 17, 2018 |
| Last updated in NPPES | Mar 14, 2022 |
| Certified by provider | Mar 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 348747 | NY |
| Nurse Practitioner | 363L00000X | 5010974 | NC |
| Nurse Practitioner, Family | 363LF0000X | 348747 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 48 · 48 30-day fills |
|---|---|
| Total drug cost | $3,264 |
| Generic share | 90% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 153 nurse practitioners in Syracuse · All nurse practitioners in New York