Individual provider Active NPI

Kelsey R Stay, APRN,CNP

  • Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1376128173
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7585 Issued in MN
Practice address
Fargo Vahcs
2101 Elm Street
Fargo, ND 58102
Phone
(800) 410-9723
NPI assigned
Mar 12, 2021
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7585 MN Primary

Addresses

Primary practice location

Fargo Vahcs
2101 Elm Street
Fargo, ND 58102

Mailing address

Fargo Vahcs
2101 Elm Street
Fargo, ND 58102
Phone (800) 410-9723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20260507002468 MN Order and Referring Only - Nurse Practitioner 4284041807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7585MNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1376128173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FARGO VAHCS",
            "address_2": "2101 ELM STREET",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "800-410-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FARGO VAHCS",
            "address_2": "2101 ELM STREET",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "800-410-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAY",
        "first_name": "KELSEY",
        "middle_name": "R",
        "credential": "APRN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "7585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.