Shannon Kathleen Kelley, PMHNP, LCSW, CASAC
Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
Shannon Kathleen Kelley, PMHNP, LCSW, CASAC is a psychiatric/mental health nurse practitioner with a practice address in Syracuse, New York, and NPI 1902089238, issued on Dec 10, 2007. Check the license (New York 403004, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannon Kathleen Kelley
- Credential
- PMHNP, LCSW, CASAC
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License numbers
- 403004 NY
082228-1 NY
740606 NY
Self-reported in NPPES; status is on the state search - Practice location
- 713 Harrison St, Syracuse, NY 13210
- Phone
- (315) 464-7655
- Enumerated
- Dec 10, 2007
- Record last updated
- Feb 25, 2021 (not updated in 5 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest psychiatric/mental health nurse practitioner records → All 4,129 in New York → Look up another NPI →
Also registered at 713 Harrison St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Fatmata Bah, MDPsychiatry Physician1679152243
- Andrew Carroll, MSWSocial Worker1003691999
- Alexa DersovitzSocial Worker1669399796
- Antoinette DonofrioStudent in an Organized Health Care Education/Training Program1649103268
- Viral Goradia, M.B.B.SAddiction Psychiatry Physician1871880989
- Branden Graham, PSYDPsychologist1164340303
Verify Shannon Kathleen Kelley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 403004Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 90.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Shannon Kathleen Kelley among 4,129 psychiatric/mental health nurse practitioner records in New York
Shannon Kathleen Kelley, PMHNP, LCSW, CASAC is one of 4,129 psychiatric/mental health nurse practitioner records with a practice address in New York. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 8% of them.
- NPI issued2007 · 8% of these records are older, 87% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileNo · 46% of these records are
- Record last updated2021 · 34% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
126 psychiatric/mental health nurse practitioner records list a practice address in Syracuse
They are 126 of the 9,922 NPPES records with a practice address in Syracuse, and 4,129 psychiatric/mental health nurse practitioner records in New York.
All 4,129 in New York → Every provider in Syracuse → Psychiatric/Mental Health Nurse Practitioner nationwide →
The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes
- Ray Antoine, PMHNP-BCSyracuse, NY 132101649594243
- Ann ArezzoSyracuse, NY 132101841642006
- Tammy Balamut, NP (PSYCHIATRIC NP)Syracuse, NY 132101255696811
- Jacquelynn Duquette, N.P.P.Syracuse, NY 132101558648733
- Christine Harrington, NPSyracuse, NY 132101750670907
- Kimberley Klimowicz, MSN RN NPPSyracuse, NY 132101548690589
- Christine Kowaleski, NPSyracuse, NY 132101700047206
- Bettie Loughrey, NPSyracuse, NY 132101164745584
Common questions
What is Shannon Kathleen Kelley, PMHNP, LCSW, CASAC's NPI number?
Shannon Kathleen Kelley, PMHNP, LCSW, CASAC's National Provider Identifier (NPI) is 1902089238, issued on Dec 10, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Kathleen Kelley, PMHNP, LCSW, CASAC located?
The NPPES record lists a practice address at 713 Harrison St, Syracuse, NY, 13210. Phone: (315) 464-7655. Providers update this record themselves, so call before visiting.
How can I verify Shannon Kathleen Kelley, PMHNP, LCSW, CASAC's license?
NPPES lists New York license number 403004, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
What is Shannon Kathleen Kelley, PMHNP, LCSW, CASAC's MIPS final score?
The 2023 MIPS final score is 90.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.