Melanie Kelsey, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111114 Issued in FL

Practice address

3944 Ranch Road 620 S Ste 100
Austin, TX 78738-7000

Phone

(352) 273-7002

NPI assigned

Nov 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: melanie.debosier@hca5.eclinicaldirectplus.com

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1366984080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 RANCH ROAD 620 S STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387000",
            "telephone_number": "352-273-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 RANCH ROAD 620 S STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387000",
            "telephone_number": "352-273-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "MELANIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5982",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100442200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Kelner, LMFT, LPC
• John Kavin Kelp, DDS
• Kelsey Balaban
• Kelsey Lee Somatic Psychotherapy PLLC
• Douglas Kelsey, P.T.
• Petra A Kelsey, MD
• Kelsi Lewis DDS PLLC
• Kalin D. Kelso, MD
• Cynthia Louise Kelt
• Anna C Kelton

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.