Individual provider Active NPI

Kelsey Palm Martin, APRN, RN

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1619478559
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
23807 Issued in TN
Practice address
250 25TH Ave N Ste 200
Nashville, TN 37203-1619
Phone
(615) 986-4366
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 23807 TN
Gerontology Nurse Practitioner 363LG0600X 23807 TN
Acute Care Nurse Practitioner 363LA2100X 23807 TN Primary

Addresses

Primary practice location

250 25TH Ave N Ste 200
Nashville, TN 37203-1619

Mailing address

2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 329-0570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20180626000703 TN Practitioner - Nurse Practitioner 0547515967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verdi Oncology Tennessee PCGroup PAC ID 9436571999, 32 clinicians

Practice addresses (Care Compare)

335 24TH Ave N
Suite 200
Nashville, TN 37203-1516
Phone (615) 284-2310

Merit-based Incentive Payment System (MIPS)

Final score
93.38 of 100Reported as group
Quality
84.25
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
23807TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Jan 6, 2020 Accepting new patients
Verdi Oncology Tennessee, PC Acute Care CurrentSince Apr 15, 2024 Accepting new patients
Nashville Oncology Associates, PC Past Accepting new patients

Locations

335 24th Ave N
Ste 510
Nashville, TN 37203
Phone (615) 398-9890

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

3443 Dickerson Pike
Ste 100
Nashville, TN 37207
Phone (615) 234-6390

335 24th Ave N
Ste 530
Nashville, TN 37203
Phone (615) 398-9890

250 25th Ave N
Ste 200
Nashville, TN 37203
Phone (615) 320-5090

335 24th Ave N
Ste 200
Nashville, TN 37203
Phone (615) 284-2310

2004 Hayes St
Ste 720
Nashville, TN 37203
Phone (615) 284-2310

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1619478559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "615-329-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 25TH AVE N STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031619",
            "telephone_number": "615-986-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELSEY",
        "middle_name": "PALM",
        "name_prefix": "Mrs.",
        "credential": "APRN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "23807",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "23807",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "23807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.