Individual provider Active NPI

Kelsee Updegrave

  • Registered Nurse
  • Bonner, MT
National Provider Identifier
1295630184
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
250951 Issued in MT
Practice address
4405 Johnsrud Rd
Bonner, MT 59823-9554
Phone
(724) 996-5527
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 250951 MT Primary

Addresses

Primary practice location

4405 Johnsrud Rd
Bonner, MT 59823-9554

Mailing address

4405 Johnsrud Rd
Bonner, MT 59823-9554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791590400000",
    "number": "1295630184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 JOHNSRUD RD",
            "city": "BONNER",
            "state": "MT",
            "postal_code": "598239554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 JOHNSRUD RD",
            "city": "BONNER",
            "state": "MT",
            "postal_code": "598239554",
            "telephone_number": "724-996-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPDEGRAVE",
        "first_name": "KELSEE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "250951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonner, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.