Individual provider Active NPI

Kelsey Ann Madsen, DO

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1154776375
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
00999 Issued in AZ
Practice address
9305 W Thomas Rd Ste 155
Phoenix, AZ 85037-3360
Phone
(623) 936-1780
Fax
(623) 936-9116
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 00999 AZ Primary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X APP-000367459 OH

Addresses

Primary practice location

9305 W Thomas Rd Ste 155
Phoenix, AZ 85037-3360

Mailing address

9305 W Thomas Rd Ste 155
Phoenix, AZ 85037-3360
Phone (623) 936-1780

Other practice location 1

20 W Wenger Rd Ste 2
Englewood, OH 45322-2764
Phone (937) 771-5100

Other identifiers 1

IdentifierTypeStateIssuer
249208MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200824000794 OH Practitioner - Obstetrics/Gynecology 2567748114 Reassigns benefits to 1 organization
I20251105001326 AZ Practitioner - Obstetrics/Gynecology 2567748114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huey and Weprin OB GYN IncGroup PAC ID 2567420292, 4 clinicians
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

3533 Southern Blvd
Suite 3100
Kettering, OH 45429-1263
Phone (937) 771-5100

9305 W Thomas Rd
Suite 155
Phoenix, AZ 85037-3360
Phone (623) 936-1780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00999AZMDObstetrics & Gynecology Physician
APP-000367459OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Kettering Medical Center Past Accepting new patients
Banner Estrella Medical Center Single Specialty Past Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

9305 W Thomas Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 936-1780

Interoperability endpoints

  • Direct secure messaging: kelsey.madsen.1@14294.direct.athenahealth.com

Organizations & group practices 4

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1154776375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373360",
            "telephone_number": "623-936-1780",
            "fax_number": "623-936-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373360",
            "telephone_number": "623-936-1780",
            "fax_number": "623-936-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W Wenger Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222764",
            "country_code": "US",
            "telephone_number": "937-771-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "00999",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "APP-000367459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249208",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.