Individual provider Active NPI

Kelsey Walsh, FNP-C

  • Family Nurse Practitioner
  • Norwood, MA
National Provider Identifier
1235747502
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2306994 Issued in MA
Practice address
3 Edgewater Dr
Norwood, MA 02062-4642
Phone
(508) 928-7668
NPI assigned
Jul 22, 2020
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 RN2306994 MA Primary
Ambulatory Care Registered Nurse 163WP2201X RN2306994 MA

Addresses

Primary practice location

3 Edgewater Dr
Norwood, MA 02062-4642

Mailing address

3 Edgewater Dr Ste 102
Norwood, MA 02062-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20231214000494 MA Practitioner - Nurse Practitioner 1052760196 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Redfield St
Suite 208
Dorchester, MA 02122-3646
Phone (508) 433-3687

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2306994MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Root Family Medicine PC CurrentSince Nov 7, 2023 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Feb 5, 2024 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Feb 5, 2024 Accepting new patients

Locations

100 S Shore Dr
East Haven, CT 06512

48 Dunham Rd
Ste 4150
Beverly, MA 01915

575 Mount Auburn St
Ste B102
Cambridge, MA 02138
Phone (617) 240-6713

50 Redfield St
Ste 208
Dorchester, MA 02122

95 Tremont St
Ste 3
Duxbury, MA 02332

1575 N Main St
Fall River, MA 02720
Phone (508) 324-0328

22 South St
Ste 201
Hopkinton, MA 01748

3 Edgewater Dr
Norwood, MA 02062
Phone (508) 928-7668

3 Edgewater Dr
Ste 102
Norwood, MA 02062
Phone (508) 928-7668

198 Charlton Rd
Ste 206
Sturbridge, MA 01566
Phone (508) 765-1600

91 Washington St
Unit 202
Taunton, MA 02780
Phone (508) 386-9888

210 Bear Hill Rd
Ste 204
Waltham, MA 02451
Phone (518) 321-4537

1275 Elm St
Ste D
West Springfield, MA 01089
Phone (860) 334-4835

349 Route 28
Ste B
West Yarmouth, MA 02673

506 Groton Rd
Ste B
Westford, MA 01886

1221 Main St
Ste 404
Weymouth, MA 02190

23 Warren Ave
Ste 145
Woburn, MA 01801

416 Belmont St
Ste 202
Worcester, MA 01604

Interoperability endpoints

  • Direct secure messaging: kelsey.walsh@49412312072196.direct.elationemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1235747502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EDGEWATER DR STE 102",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EDGEWATER DR",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624642",
            "telephone_number": "508-928-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KELSEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2023-11-15",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2306994",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MA",
            "license": "RN2306994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.