Kelsey Usselmann, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95011540 Issued in CA

Practice address

6200 De Soto Ave Apt 36420
Woodland Hills, CA 91367-0213

Phone

(618) 806-2996

NPI assigned

Apr 18, 2019

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Asthma and Immunology Center SCGroup PAC ID 9830299247, 6 clinicians

Practice addresses (Care Compare)

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.

• Allergy, Asthma & Immunology Center SC

  • Allergy & Immunology Physician
  • Shiloh, IL
  • NPI 1184829210
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1417510082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DE SOTO AVE APT 36420",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913670213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 DE SOTO AVE APT 36420",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913670213",
            "telephone_number": "618-806-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USSELMANN",
        "first_name": "KELSEY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urgent Home Health, Inc.
• Maximilian Alexis Urias
• Monica Yisel Urrutia
• Rosa Isela Urzua
• Usharani Usharani, RD
• Lynn Marie Utley, MD
• Kathryn Ann Vaclavik
• Vagr Dental Corp Apc
• Boris Vaisman, MD
• Sofia Vaisman, M.D.

• Family Nurse Practitioner in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.
• 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.

Verify at the official NPI Registry.