Individual provider Active NPI

James Kelsey, M.D.

  • Family Medicine Physician
  • West Lebanon, NH
National Provider Identifier
1528147618
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8654 Issued in NH
Practice address
1 Oak Ridge Rd
B11
West Lebanon, NH 03784
Phone
(603) 448-1941
Fax
(603) 448-6059
NPI assigned
Nov 2, 2006
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8654 NH Primary
Pediatrics Physician 208000000X 8654 NH

Addresses

Primary practice location

1 Oak Ridge Rd
B11
West Lebanon, NH 03784

Mailing address

1 Oak Ridge Rd
B11
West Lebanon, NH 03784
Phone (603) 448-1941

Other identifiers 2

IdentifierTypeStateIssuer
8654OtherNHSTATE LICENSE
BK2401696OtherDEA CERTIFICATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051105000071 NH Practitioner - Family PracticePractitioner - Pediatric Medicine 5991786980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Geisel School of Medicine at Dartmouth, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Center, P.a.Group PAC ID 4486635539, 2 clinicians

Practice addresses (Care Compare)

1 Oak Ridge Rd
Suite 11B
West Lebanon, NH 03784-3108
Phone (603) 448-1941

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.78 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
59.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8654NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center, P.a. Family Medicine CurrentSince Sep 21, 2020 Accepting new patients
Faodail Pain Management, PLLC PastSince Jan 1, 2024 Accepting new patients
Clearchoicemd Primary Care PLLC Family Medicine Past Accepting new patients

Locations

252 Mechanic St
Lebanon, NH 03766
Phone (603) 359-8811

1 Oak Ridge Rd
Ste 11B
West Lebanon, NH 03784
Phone (603) 448-1941

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1528147618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAK RIDGE RD",
            "address_2": "B11",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "03784",
            "telephone_number": "603-448-1941",
            "fax_number": "603-448-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAK RIDGE RD",
            "address_2": "B11",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "03784",
            "telephone_number": "603-448-1941",
            "fax_number": "603-448-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "8654",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "8654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8654",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA CERTIFICATE",
            "identifier": "BK2401696",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lebanon, NH

Sources for this page

Verify at the official NPI Registry.