Individual provider Active NPI

Kelsey Alexander, FNP-C

  • Family Nurse Practitioner
  • Newburyport, MA
National Provider Identifier
1285112425
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2286539 Issued in MA
Practice address
28 Green St
Newburyport, MA 01950
Phone
(978) 465-7719
NPI assigned
Jul 31, 2018
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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 RN2286539 MA Primary
Registered Nurse 163W00000X RN2286539 MA

Addresses

Primary practice location

28 Green St
Newburyport, MA 01950

Mailing address

28 Green St
Newburyport, MA 01950-2650
Phone (978) 465-7719

Other identifiers 1

IdentifierTypeStateIssuer
RN2286539OtherMARN

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Www.ajh.org Seacoast Affiliated Group Practice
Direct Messaging Address kelsey.alexander@nsi.eclinicaldirectplus.com Direct Seacoast Affiliated Group Practice, Inc.

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
I20181012000210 MA Practitioner - Nurse Practitioner 6002168465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seacoast Affiliated Group Practice IncGroup PAC ID 1658357843, 50 clinicians

Practice addresses (Care Compare)

28 Green St
Newburyport, MA 01950-2650
Phone (978) 834-8074

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2286539MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Sep 13, 2018 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Locations

24 Morrill Pl
Amesbury, MA 01913
Phone (978) 388-5050

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

28 Green St
Newburyport, MA 01950
Phone (978) 465-1234

7 Henry Graf Jr Rd
Newburyport, MA 01950
Phone (978) 255-4607

Interoperability endpoints

  • Direct secure messaging: kalexander252585@direct.bilh.masshiway.net
  • Direct secure messaging: kelsey.alexander@nsi.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1285112425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502650",
            "telephone_number": "978-465-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-465-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KELSEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2286539",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2286539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN2286539",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.ajh.org",
            "affiliation": "Y",
            "affiliationName": "Seacoast Affiliated Group Practice",
            "address_1": "28 Green St",
            "city": "Newburyport",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsey.alexander@nsi.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "SAGP North Shore Internal Medicine eClinicalWorks",
            "affiliationName": "Seacoast Affiliated Group Practice, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "28 Green St",
            "city": "Newburyport",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.