Active NPI
Kelsey Prosthetics Orthotics LLC
- Prosthetic/Orthotic Supplier
- Greenfield, WI
National Provider Identifier
1205632379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- KELSEY PROSTHETICS ORTHOTICS LLC
- Practice address
- 6790 W Layton Ave
Greenfield, WI 53220-4571 - Phone
- (414) 282-3100
- Fax
- (414) 282-3101
- NPI assigned
- Feb 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherri Kelsey
- Title
- Office Manager
- Phone
- (414) 975-3661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
6790 W Layton Ave
Greenfield, WI 53220-4571
Mailing address
1011 N Mayfair Rd Ste 100
Wauwatosa, WI 53226-3431
Other practice location 1
1011 N Mayfair Rd Ste 100
Wauwatosa, WI 53226-3431
Phone (414) 259-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250605000335 | WI | DME Supplier - Prosthetic Personnel | 6901069426 | Practice locations: Wauwatosa, WI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Greenfield, WI
- NPI 1164796496
6901069426
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kelsey Prosthetics Orthotics LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Kelsey Prosthetics Orthotics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Greenfield, WI
- NPI 1164796496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740182400000",
"number": "1205632379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 N MAYFAIR RD STE 100",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6790 W LAYTON AVE",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204571",
"telephone_number": "414-282-3100",
"fax_number": "414-282-3101"
}
],
"practiceLocations": [
{
"address_1": "1011 N Mayfair Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Wauwatosa",
"state": "WI",
"postal_code": "532263431",
"country_code": "US",
"telephone_number": "414-259-1950",
"fax_number": "414-259-1533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KELSEY PROSTHETICS ORTHOTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-22",
"certification_date": "2025-02-22",
"status": "A",
"authorized_official_last_name": "KELSEY",
"authorized_official_first_name": "SHERRI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "414-975-3661"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.