Kelsey L Kurtenbach, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1376089086 Issued in MI

Practice address

27355 John R Rd
Madison Heights, MI 48071-3300

Phone

(734) 968-5608

NPI assigned

Jan 19, 2017

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 names 1

• Kelsey L Neely Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Palliative Coach Michigan

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Macomb, MI
  • NPI 1518749613
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Harmonycares Complete Health Services, PLLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1093543902
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Palliative Coach

  • Adult Health Nurse Practitioner
  • Naples, FL
  • NPI 1164100988
  NPD (past)

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1376089086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S LAFAYETTE AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673132",
            "telephone_number": "734-968-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27355 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713300",
            "telephone_number": "734-968-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTENBACH",
        "first_name": "KELSEY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704284772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "1376089086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "NEELY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Howard Kuhlman, D.O.
• Vikas Kumar, OD
• Supriya Kundani, PHARMD
• Joa Kunkel
• Japhia Rachel Kurikesu, PA-C
• Joseph Labib, DPT
• Heather Lacaria, NP
• Lactation Lighthouse, LLC
• Michael R Laffer, D.O.
• Jamila Lamb

• Family Nurse Practitioner in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.