Individual provider Active NPI

Kelsey S Ellis, MSN,RN

  • School Registered Nurse
  • Fort Smith, AR
National Provider Identifier
1104733682
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R072466 Issued in AR
Practice address
3205 Jenny Lind Rd
Fort Smith, AR 72901-7101
Phone
(479) 785-2501
NPI assigned
Aug 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R072466 AR Primary

Addresses

Primary practice location

3205 Jenny Lind Rd
Fort Smith, AR 72901-7101

Mailing address

3205 Jenny Lind Rd
Fort Smith, AR 72901-7101
Phone (479) 785-2501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1104733682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017101",
            "telephone_number": "479-785-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017101",
            "telephone_number": "479-785-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KELSEY",
        "middle_name": "S",
        "credential": "MSN,RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AR",
            "license": "R072466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.