Individual provider Active NPI

Kelsey Van Stee, CPNP

  • Pediatric Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1144061870
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN242744 Issued in GA
Practice address
5445 Meridian Mark Rd Ste 250
Atlanta, GA 30342-4767
Phone
(404) 255-1933
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN242744 GA Primary

Addresses

Primary practice location

5445 Meridian Mark Rd Ste 250
Atlanta, GA 30342-4767

Mailing address

5445 Meridian Mark Rd Ste 250
Atlanta, GA 30342-4767
Phone (404) 255-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250215000068 GA Order and Referring Only - Nurse Practitioner 2466982707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Orthopaedics of Atlanta P.C. CurrentSince Jun 9, 2024 Accepting new patients
Choa Hospital Based, LLC Pediatrics Past Accepting new patients
Choa Multispecialty, LLC Pediatrics Past Accepting new patients

Locations

2270 Duluth Hwy
Ste 100
Duluth, GA 30097

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

5445 Meridian Mark Rd
Ste 250
Sandy Springs, GA 30342

1181 Langford Dr
Bldg 200
Watkinsville, GA 30677
Phone (706) 548-9655

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1144061870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424767",
            "telephone_number": "404-255-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424767",
            "telephone_number": "404-255-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN STEE",
        "first_name": "KELSEY",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN242744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.