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

MS. Paulette M Kelly, FNP

Individual provider Family Nurse Practitioner · NPI 1811188717

MS. Paulette M Kelly, FNP is a Nurse Practitioner in New York, New York. Qualified in 2005, 21 years ago. Practices with Memorial Pediatric Group, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2007
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 639-5952
Fax: (212) 717-3447
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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 334583 (NY)

Record details

NPI number1811188717
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedAugust 6, 2007
Last updated in NPPESAugust 6, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Memorial Pediatric Group — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Memorial Pediatric Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 39 clinicians in the practice; 12 are shown here.

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