Individual provider Active NPI

Kelsey Nicole Madesen, MSN, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Coralville, IA
National Provider Identifier
1306514237
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G164610 Issued in IA
Practice address
2240 9TH St
Coralville, IA 52241-1575
Phone
(319) 800-5564
Fax
(319) 205-0058
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G164610 IA Primary

Addresses

Primary practice location

2240 9TH St
Coralville, IA 52241-1575

Mailing address

2240 9TH St
Coralville, IA 52241-1575
Phone (319) 800-5564

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
I20211210000919 IA Practitioner - Nurse Practitioner 5496145203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Nov 11, 2021 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Sep 5, 2021 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Nov 11, 2021 Accepting new patients
Green Counseling Services PLLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

2240 9th St
Ste 4
Coralville, IA 52241

1206 Pleasant St
Des Moines, IA 50309
Phone (515) 241-3434

1206 Pleasant St
Fl 1
Des Moines, IA 50309
Phone (515) 241-5884

700 E University Ave
Ste 3W
Des Moines, IA 50316

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

Interoperability endpoints

  • Direct secure messaging: kmadesen643792@direct.unitypoint.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1306514237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411575",
            "telephone_number": "319-800-5564",
            "fax_number": "319-205-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411575",
            "telephone_number": "319-800-5564",
            "fax_number": "319-205-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADESEN",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "credential": "MSN, ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G164610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.