Active NPI
Jane Marie Kelsey, RPH
- Pharmacist
- Waupun, WI
National Provider Identifier
1194163717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7100
- Practice address
- 904 W Main St
Waupun, WI 53963-1201 - Phone
- (920) 324-3010
- Fax
- (920) 324-3875
- NPI assigned
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7100 | WI | Primary |
Addresses
Primary practice location
904 W Main St
Waupun, WI 53963-1201
Mailing address
904 W Main Street
Waupun, WI 53963
Phone (920) 324-3010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7100 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789862400000",
"number": "1194163717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 W MAIN STREET",
"city": "WAUPUN",
"state": "WI",
"postal_code": "53963",
"telephone_number": "920-324-3010",
"fax_number": "920-324-3875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 W MAIN ST",
"city": "WAUPUN",
"state": "WI",
"postal_code": "539631201",
"telephone_number": "920-324-3010",
"fax_number": "920-324-3875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSEY",
"first_name": "JANE",
"middle_name": "MARIE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-05",
"last_updated": "2026-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "7100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waupun, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.