Kelsey Marit Hamilton, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3021 Issued in CO

Practice address

4825 Olson Memorial Hwy
Suite 201
Minneapolis, MN 55422

Phone

(763) 540-1837

Fax

(763) 543-2420

NPI assigned

Jul 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kelsey Marit Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Front Range Emergency Specialists, PC

  • Emergency Medicine Physician
  • Colorado Springs, CO
  • NPI 1538233234
  NPD (past)

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1497069678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 OLSON MEMORIAL HWY",
            "address_2": "SUITE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-540-1837",
            "fax_number": "763-543-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 OLSON MEMORIAL HWY",
            "address_2": "SUITE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-540-1837",
            "fax_number": "763-543-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KELSEY",
        "middle_name": "MARIT",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "THOMPSON",
            "middle_name": "MARIT",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Elizabeth Hamilton, CNP
• Elizabeth Costa Hamilton, M.D.
• Ethan Hamilton, CNP
• Janelle Hamilton, DMD
• Kallie Hamilton
• Matthew James Hamilton
• Matthew Paul Hamilton, MD
• Melissa Hamilton
• Nancy Jane Hamilton, D.D.S.
• William Joseph Hamilton, MD

• Physician Assistant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.