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

Mrs. Kelly Reid-Waldock, NP

Individual provider Family Nurse Practitioner · NPI 1174574099

Mrs. Kelly Reid-Waldock, NP is a Nurse Practitioner in Rochester, New York. Qualified in 1992, 34 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2006
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

1295 Portland Ave Ste 7
Rochester, NY 14621
Phone: (585) 266-7560
Fax: (585) 266-7916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F3324631 (NY)

Record details

NPI number1174574099
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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