Kelly Ann Storm Buisseret, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

DR.0050247 Issued in CO

Practice address

2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408

Phone

(970) 488-1666

NPI assigned

Jun 17, 2009

Last updated

Nov 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Kelly Ann Storm Oshetski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

94.23 of 100Reported as group

Quality

87

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Inpatient Medicine Service PC

  • Internal Medicine Physician
  • Englewood, CO
  • NPI 1881680734
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1265669139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 MIDPOINT DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254408",
            "telephone_number": "970-488-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 MIDPOINT DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254408",
            "telephone_number": "970-488-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUISSERET",
        "first_name": "KELLY",
        "middle_name": "ANN STORM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0050247",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0050247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136360300",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01233721",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02351374",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "STORM OSHETSKI",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Kathleen Budai, NP
• Elizabeth Hauslein Buell, M.D.
• Earl George Buelow II
• Alecia Bueno
• Julio Bueno
• Alex Daniel Bujold, DDS
• Desiree Blaire Bukovsky, P.T., DPT
• Peter Bulcher, DC
• Christopher Bull
• Daisy Buller

• Hospitalist Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Hospitalist Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.