Kelsey Anne Simm, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2267888 Issued in MA

Practice address

483B Great Neck Rd S
Mashpee, MA 02649-3707

Phone

(508) 477-6967

NPI assigned

Mar 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kelsey Anne Quealy Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Mashpee Service Unit/Indian Health Service

  • Community Health Clinic/Center
  • Mashpee, MA
  • NPI 1992001457

  TX

  Medicare reassignment

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1376936815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROBBINS LN",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023472001",
            "telephone_number": "774-254-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483B GREAT NECK RD S",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493707",
            "telephone_number": "508-477-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMM",
        "first_name": "KELSEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2267888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "QUEALY",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Sellers, RN
• Arshiya Seth, MD
• Mariel D Shepherd, OTR/L
• George Joseph Silva
• Zita Kristina Simas, MA
• Gary Richard Simpson
• Kimberly Small, NP
• Kathleen Frances Smith-Brown, CAGS LMHC LMFT
• James Thomas Smith
• Peter Raymond Smith, DDS

• Family Nurse Practitioner in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.