Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelli Renee Wilder-Outlaw, NP

Individual provider Acute Care Nurse Practitioner · NPI 1952897779

Kelli Renee Wilder-Outlaw, NP is a Nurse Practitioner in Rochester, New York. Qualified in 2018, 8 years ago. Practices with The Frederick Ferris Thompson Hospital, a 228-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 275-6026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F431324 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 431324 (NY)

Record details

NPI number1952897779
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 4, 2018
Last updated in NPPESJune 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Frederick Ferris Thompson Hospital — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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