Individual provider Active NPI

Kelsey Lee Hughes, PA-C

  • Physician Assistant
  • Lagrange, ME
National Provider Identifier
1376993477
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
209 Medford Rd
Lagrange, ME 04453-5202
Phone
(207) 991-4801
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

209 Medford Rd
Lagrange, ME 04453-5202

Mailing address

209 Medford Rd
Lagrange, ME 04453-5202

Other names 1

  • Kelsey Lee Ottmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20180912001322 MT Practitioner - Physician Assistant 2860788395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston HealthcareGroup PAC ID 5991613598, 66 clinicians

Practice addresses (Care Compare)

320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-3541

Hospital & facility affiliations

  • Livingston Healthcare Hospital, Livingston, MT, CCN 271317

Merit-based Incentive Payment System (MIPS)

Final score
74.05 of 100Reported as group
Quality
59.76
Promoting interoperability
99
Improvement activities
40
Cost
54.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Healthcare CurrentSince Aug 1, 2018 Accepting new patients
Livingston Healthcare CurrentSince Aug 1, 2018 Accepting new patients

Locations

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030

Interoperability endpoints

  • Direct secure messaging: kelsey.hughes@livingstonhealthcare.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1376993477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MEDFORD RD",
            "city": "LAGRANGE",
            "state": "ME",
            "postal_code": "044535202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MEDFORD RD",
            "city": "LAGRANGE",
            "state": "ME",
            "postal_code": "044535202",
            "telephone_number": "207-991-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KELSEY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "OTTMANN",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lagrange, ME

Sources for this page

Verify at the official NPI Registry.