Kevin Gregory Forsell, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA059667 Issued in PA

Practice address

402 McFarlan Rd
Kennett Square, PA 19348-2453

Phone

(610) 444-5678

NPI assigned

Jan 13, 2018

Sex

Male

Sole proprietor

No

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 NJ

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

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Am PM Walk in Urgent Care ClinicGroup PAC ID 5092954602, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Am PM Walk in Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1073853859
  Medicare reassignment Care Compare group
• Am PM Primary Care

  • Primary Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1083045694
  NPD (past)

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

• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1578071445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MCFARLAN RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482453",
            "telephone_number": "610-444-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MCFARLAN RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482453",
            "telephone_number": "610-444-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 McFarlan Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kennett Square",
            "state": "PA",
            "postal_code": "193482453",
            "country_code": "US",
            "telephone_number": "215-662-7366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSELL",
        "first_name": "KEVIN",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-13",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MA059667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Fitzgerald
• Dia Fleming
• Foot and Ankle Associates LLP
• Foot and Ankle Associates LLP
• Lois Foreman, COTA/L
• Paul Thomas Fortanasce, DMD
• Robin Fountain, PTA
• Duane Fowlkes
• Nicole Elizabeth Fragale, RD, LDN
• Wendy Lee Franciose, LPTA

• Family Medicine Physician in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.