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

Kira Lee-Lin Gridley, FNP-C

Individual provider Nurse Practitioner · NPI 1194583609

Kira Lee-Lin Gridley, FNP-C is a Nurse Practitioner in Fayetteville, New York. Qualified in 2023, 3 years ago. Practices with Wellnow Urgent Care, PC, a 411-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

6870 E Genesee St
Fayetteville, NY 13066-1031
Phone: (315) 679-4367
Fax: (315) 679-4368
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F351912-01 (NY)

Record details

NPI number1194583609
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 8, 2024
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wellnow Urgent Care, P.C. — 411 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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