Kelsey M Davis-Humes, D.O
Individual provider Active NPI Family Medicine Physician · Memphis, MO
NPI 1457701419 · NPPES record last updated Aug 3, 2022
Key facts
- NPI
- 1457701419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 201734707 (MO)
- Practice address
- 450 E Sigler Ave
Ste a
Memphis, MO 63555-1726 - Phone
- (660) 465-2828
- Fax
- (660) 465-2956
- NPI assigned
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Scotland County Memorial Hospital
Practice addresses (Care Compare)
450 E Sigler Ave
Suite a
Memphis, MO 63555-1726
Phone (660) 465-2828
Hospital & facility affiliations
- Clark County Home Health Agency
- Scotland County Home Health Agency
- Scotland County Hospital
- Blessing Hospital
- Northeast Regional Medical Center
- Clark County Nursing Home
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171114000071 | MO | Practitioner - Family Practice | 7113219031 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.069458 | IL | MD | Family Medicine Physician |
| 201734707 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Scotland County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Scotland County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Family Medicine | Past |
Accepting new patients |
Locations
450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828
450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828
11024 Jefferson St
Wyaconda, MO 63474
Phone (660) 479-5553
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.069458 | IL | |
| Family Medicine Physician | 207Q00000X | 201734707 | MO | Yes |
Addresses
Primary practice location
450 E Sigler Ave
Ste a
Memphis, MO 63555-1726
Mailing address
450 E Sigler Ave
Ste a
Memphis, MO 63555-1726
Phone (660) 465-8513
Other names
- Kelsey M Davis
Other providers in Memphis, MO
- Danelle Marie Batterton
- Jeanne Kay Camden
- Clark County Pharmacy Inc
- Lori A Claypool
- Jami Dalton
- Jeffrey D Davis
- Trinity Davis
- Marilyn Lee Day
- Elliot M Deblieck
- Harlo Lee Donelson
All providers in Memphis, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.