NPIMap

Individual provider Active NPI

Kelsey E Tourville, PA-C

  • Physician Assistant
  • Ballston Spa, NY
National Provider Identifier
1124671995
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
023730 Issued in NY
Practice address
61 Rowland St
Ballston Spa, NY 12020-1135
Phone
(518) 885-6721
Fax
(518) 885-5412
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 023730 NY Primary

Addresses

Primary practice location

61 Rowland St
Ballston Spa, NY 12020-1135

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905000501 NY Practitioner - Physician Assistant 3274862941 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

1 W Ave
Suite 300
Saratoga Springs, NY 12866-6050
Phone (518) 693-4699

1 W Plaza
Suite 101
Saratoga Springs, NY 12866-6052
Phone (518) 693-4635

112 Charlton Rd
Ballston Lake, NY 12019-2547
Phone (518) 587-8400

19 W Ave
Suite 103
Saratoga Springs, NY 12866-6052
Phone (518) 583-0111

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

8 Medical Park Dr
Malta, NY 12020-5050

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023730NYMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Dec 28, 2020 Accepting new patients
Albany Medical College CurrentSince May 22, 2023 Accepting new patients
Scotia Glenville Family Medicine, P.C. Current Accepting new patients
Saratoga Hospital CurrentSince Dec 28, 2020 Accepting new patients
Albany Medical College CurrentSince May 22, 2023 Accepting new patients
Albany Medical College CurrentSince May 22, 2023 Accepting new patients
Saratoga Hospital Past Accepting new patients
Saratoga Hospital Past Accepting new patients
Albany Medical College Physician Assistant Past Accepting new patients
Community Care Physicians, PC Past Accepting new patients

Locations

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

8 Medical Park Dr
Ste 100
Malta, NY 12020
Phone (518) 289-2775

202 S Central Ave
Mechanicville, NY 12118
Phone (518) 580-2099

3 Care Ln
Ste 300
Saratoga Springs, NY 12866
Phone (518) 226-6000

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1124671995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ROWLAND ST",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201135",
            "telephone_number": "518-885-6721",
            "fax_number": "518-885-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURVILLE",
        "first_name": "KELSEY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.