Individual provider Active NPI

Kelsey Taylor Lynn, APRN, FNP-C

  • Family Nurse Practitioner
  • Fairfield, CT
National Provider Identifier
1215755384
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.014249 Issued in CT
Practice address
340 Grasmere Ave
Fairfield, CT 06824-6155
Phone
(860) 650-3848
NPI assigned
Sep 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61611112 WA
Family Nurse Practitioner 363LF0000X 12.014249 CT Primary

Addresses

Primary practice location

340 Grasmere Ave
Fairfield, CT 06824-6155

Mailing address

340 Grasmere Ave
Fairfield, CT 06824-6155
Phone (860) 650-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250307002371 CT Practitioner - Nurse Practitioner 0143741058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians

Practice addresses (Care Compare)

340 Grasmere Ave
Fairfield, CT 06824-6155
Phone (860) 650-3848

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.014249CTMDFamily Nurse Practitioner
AP61611112WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Medical Associates, LLC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

340 Grasmere Ave
Fairfield, CT 06824

900 Main St S
Ste 100
Southbury, CT 06488
Phone (203) 262-1911

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1215755384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 GRASMERE AVE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246155",
            "telephone_number": "860-650-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 GRASMERE AVE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246155",
            "telephone_number": "860-650-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "KELSEY",
        "middle_name": "TAYLOR",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61611112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.014249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.