Kelsie Rae O'Daniel

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4048469 Issued in KY

Practice address

240 Hospital Rd
Whitesburg, KY 41858-7627

Phone

(256) 688-0523

NPI assigned

Sep 10, 2025

Last updated

Nov 26, 2025By 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 2

Addresses

Other names 1

• Kelsie Rae Jacobs Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Whitesburg Arh Hospital Hospital, Whitesburg, KY, CCN 180002

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Green Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Paducah, KY
  • NPI 1720755739

  Family

  Medicare reassignment NPD

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

• Appalachian Regional Healthcare, Inc.

  dba Whitesburg ARH Hospital

  • General Acute Care Hospital
  • Whitesburg, KY
  • NPI 1194723726
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba Jenkins ARH Family Care Center

  • Clinic/Center
  • Jenkins, KY
  • NPI 1235373358

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • Surgery Physician
  • Whitesburg, KY
  • NPI 1497764401

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba ARH Whitesburg Clinic

  • Multi-Specialty Clinic/Center
  • Whitesburg, KY
  • NPI 1821204199

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1578444030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "256-688-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "256-688-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DANIEL",
        "first_name": "KELSIE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4048469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSIE",
            "last_name": "JACOBS",
            "middle_name": "RAE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David A. Narramore, D.M.D.
• Jacob Nasser, D.P.M.
• Melissa Newell, CNM
• Winglock Johnson NG
• McKenzie Gibson Nickles
• Sandesh R Patil, MD
• Sandeep Kumar Patnaik, MD
• John L. Pellegrini, M.D.
• Shirlyn Perkins
• Pikeville Medical Center Inc

• Family Nurse Practitioner in Whitesburg, KY
• Providers in Whitesburg, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.