Kelsey Horter Mothersole, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

T0577 Issued in TX

Practice address

720 W 34TH St Ste 110
Austin, TX 78705-1202

Phone

(512) 346-7600

Fax

(512) 346-7603

NPI assigned

Apr 25, 2016

Last updated

Aug 3, 2021By the provider in NPPES

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

• Kelsey Leanne Horter Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Otolaryngology

Education

Baylor College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

ENT Specialists of Austin PAGroup PAC ID 2961595533, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmothersole67107@direct.phhs.org

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.

• ENT Specialists of Austin PA

  • Otolaryngology Physician
  • Cedar Park, TX
  • NPI 1942407473
  Medicare reassignment Care Compare group NPD
• ENT Specialists of Austin PA

  • Otolaryngology Physician
  • Austin, TX
  • NPI 1992901946
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metroplex Adventist Hospital Inc

  dba AdventHealth Central Texas

  • General Acute Care Hospital
  • Killeen, TX
  • NPI 1629089966
  Care Compare affiliation

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1548615834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST",
            "address_2": "STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051202",
            "telephone_number": "512-346-7600",
            "fax_number": "512-346-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051202",
            "telephone_number": "512-346-7600",
            "fax_number": "512-346-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTHERSOLE",
        "first_name": "KELSEY",
        "middle_name": "HORTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "T0577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HORTER",
            "middle_name": "LEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Otolaryngology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.