NPIMap

Individual provider Active NPI

Kelsey Walsdorf, MD

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1053979534
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0064975 Issued in CO
Practice address
2698 Patterson Road
Grand Junction, CO 81506
Phone
(970) 298-2800
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.46000 AL
Family Medicine Physician 207Q00000X TL0007769 CO
Family Medicine Physician 207Q00000X DR.0064975 CO Primary

Addresses

Primary practice location

2698 Patterson Road
Grand Junction, CO 81506

Mailing address

301 Governors Dr SW
Huntsville, AL 35801-5123
Phone (256) 536-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220728002512 CO Practitioner - Family Practice 4880929652 Reassigns benefits to 1 organization
I20230727000442 AL Practitioner - Family Practice 4880929652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Hospital and Medical Center IncGroup PAC ID 1557267069, 33 clinicians

Practice addresses (Care Compare)

2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 298-7578

2698 Patterson Rd
Grand Junction, CO 81506-8818
Phone (970) 298-2800

Hospital & facility affiliations

  • Hopewest Grand Junction Hospice, Grand Junction, CO, CCN 061527
  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TL0007769COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Hospital and Medical Center, Inc Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
The Valley Foundation CurrentSince Aug 1, 2023 Accepting new patients
St Mary'S Hospital and Medical Center, Inc CurrentSince Aug 1, 2022 Accepting new patients
HH Physicians Network Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Mesa County Health Department Past Accepting new patients
St. Mary'S Hospital and Medical Center, Inc. Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

301 Governors Dr SW
Huntsville, AL 35801
Phone (256) 536-5511

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

2698 Patterson Rd
Grand Junction, CO 81506
Phone (970) 298-2800

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1053979534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015123",
            "telephone_number": "256-536-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 PATTERSON ROAD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81506",
            "telephone_number": "970-298-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSDORF",
        "first_name": "KELSEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.46000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "TL0007769",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0064975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.