Kelly Spehalski
NPI 1063062941 · Family Nurse Practitioner · Hopewell Jct, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Spehalski is a Family Nurse Practitioner provider in Hopewell Jct, NY (NPI 1063062941).
Provider details
- NPI number
- 1063062941
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- F344741-01 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
359 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 64 | $116 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 52 | $41 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 47 | $82 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 43 | $16 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 33 | $50 |
| Detection Test By Nucleic Acid for Strep (streptococcus, Group A), Amplified Probe Technique |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 26 | 26 |
| Methylprednisolone | 15 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-12
- Last updated
- 2019-09-12
Frequently asked questions
- What is Kelly Spehalski's NPI number?
- Kelly Spehalski's National Provider Identifier (NPI) is 1063062941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Spehalski's specialty?
- Kelly Spehalski is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Spehalski located?
- Kelly Spehalski's practice location on file with NPPES is 9 E Tilden Pl, Hopewell Jct, NY 12533-7391.
- What is Kelly Spehalski's phone number?
- The practice phone number listed in the NPPES registry for Kelly Spehalski is (845) 264-5657.
- Does Kelly Spehalski accept Medicare?
- Kelly Spehalski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Spehalski's NPI active?
- Yes — Kelly Spehalski's NPI (1063062941) is active in the NPPES registry as of the last update on 2019-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.