Active NPI
Kelsey Ilene Keimig, AU.D.
- Audiologist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY2247
- Practice address
- 3627 University Blvd S
Jacksonville, FL 32216-4230 - Phone
- (904) 858-1912
- NPI assigned
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01646 | MD | |
| Audiologist | 231H00000X | AY2247 | FL | Primary |
Addresses
Primary practice location
3627 University Blvd S
Jacksonville, FL 32216-4230
Mailing address
119 Auburn Oaks Rd W
Jacksonville, FL 32218-4999
Phone (410) 812-1310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 A E Joppa Rd
Suite 230D
Towson, MD 21286-5817
Phone (410) 889-0795
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.59 of 100
- Quality
- 55.66
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 62.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Total ENT Care LLC | Current | Accepting new patients |
Locations
7135 NW 11th Pl
Ste A
Gainesville, FL 32605
Phone (352) 331-0090
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
3627 University Blvd S
Ste 500
Jacksonville, FL 32216
Phone (904) 399-1623
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
733 W 40th St
Ste 20
Baltimore, MD 21211
Phone (443) 297-9693
1220A E Joppa Rd
Ste 230D
Towson, MD 21286
Phone (410) 299-1388
Interoperability endpoints
- kelsey.keimig@hca5.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Baltimore, MD
- NPI 1790195485
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1386129591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 AUBURN OAKS RD W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184999",
"telephone_number": "410-812-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3627 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164230",
"telephone_number": "904-858-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIMIG",
"first_name": "KELSEY",
"middle_name": "ILENE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2023-11-16",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01646",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY2247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.