Individual provider Active NPI

Kelsey L Nank

  • Physician Assistant
  • Keosauqua, IA
National Provider Identifier
1275863979
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002047 Issued in IA
Practice address
304 Franklin St
Keosauqua, IA 52565-1164
Phone
(319) 293-3171
NPI assigned
Jan 4, 2010
Last updated
Jan 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002047 IA Primary

Addresses

Primary practice location

304 Franklin St
Keosauqua, IA 52565-1164

Mailing address

304 Franklin St
Keosauqua, IA 52565-1164
Phone (319) 293-3171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100310000528 IA Practitioner - Physician Assistant 7416092812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Buren County HospitalGroup PAC ID 7214829530, shared by 7 NPIs, 33 clinicians

Practice addresses (Care Compare)

304 Franklin St
Keosauqua, IA 52565-1164
Phone (319) 293-3171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Van Buren County Hospital Physician Assistant CurrentSince Jan 15, 2010 Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Van Buren County Hospital CurrentSince Jan 15, 2010 Accepting new patients
Van Buren County Hospital CurrentSince Jan 15, 2010 Accepting new patients

Locations

304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171

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": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1275863979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FRANKLIN ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651164",
            "telephone_number": "319-293-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FRANKLIN ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651164",
            "telephone_number": "319-293-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANK",
        "first_name": "KELSEY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keosauqua, IA

Sources for this page

Verify at the official NPI Registry.