Individual provider Active NPI

Kelsee Annette Chang, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1346917770
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1049383 Issued in TX
Practice address
9920 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7726
Phone
(702) 684-7246
Fax
(702) 316-2272
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1049383 TX Primary

Addresses

Primary practice location

9920 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7726

Mailing address

9920 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7726
Phone (702) 684-7246

Other practice location 1

501 S Rancho Dr Ste G44
Las Vegas, NV 89106-4854
Phone (702) 684-7246

Other practice location 2

9065 S Pecos Rd Ste 230
Henderson, NV 89074-7189
Phone (702) 684-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20220111001262 NV Practitioner - Nurse Practitioner 3072905678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel L Burkhead MD LTDGroup PAC ID 8729084470, 6 clinicians

Practice addresses (Care Compare)

9920 W Cheyenne Ave
Suite 110
Las Vegas, NV 89129-7726
Phone (702) 316-2281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1049383TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Primary Care Physicians, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Daniel L. Burkhead, MD LTD CurrentSince Sep 23, 2021 Accepting new patients
Daniel L. Burkhead, M.D. LTD CurrentSince Sep 23, 2021 Accepting new patients

Locations

9065 S Pecos Rd
Ste 230
Henderson, NV 89074
Phone (702) 684-7246

7190 Smoke Ranch Rd
Ste 150
Las Vegas, NV 89128
Phone (702) 434-7246

2870 S Maryland Pkwy
Ste 120
Las Vegas, NV 89109
Phone (702) 456-3120

501 S Rancho Dr
Ste G44
Las Vegas, NV 89106
Phone (702) 316-2281

9920 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129
Phone (702) 316-2281

Interoperability endpoints

  • Direct secure messaging: kelsee.mcinturf@579.chartlogic.direct-ci.com

Organizations & group practices 3

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1346917770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297726",
            "telephone_number": "702-684-7246",
            "fax_number": "702-316-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297726",
            "telephone_number": "702-684-7246",
            "fax_number": "702-316-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Rancho Dr Ste G44",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064854",
            "country_code": "US",
            "telephone_number": "702-684-7246",
            "fax_number": "702-316-2272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9065 S Pecos Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747189",
            "country_code": "US",
            "telephone_number": "702-684-7246",
            "fax_number": "702-316-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KELSEE",
        "middle_name": "ANNETTE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1049383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.