Individual provider Active NPI

Dwan Kelsey, NP

  • Adult Health Nurse Practitioner
  • Cary, NC
National Provider Identifier
1629297429
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
900229 Issued in NC
Practice address
6590 Tryon Rd
Cary, NC 27511-7052
Phone
(919) 851-8000
NPI assigned
Apr 24, 2007
Last updated
Mar 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 900229 NC Primary

Addresses

Primary practice location

6590 Tryon Rd
Cary, NC 27511-7052

Mailing address

3304 Eagle TRL
Raleigh, NC 27615-4023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041029000060 NC Practitioner - Nurse Practitioner 8921060203 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8309 Six Forks Rd
Suite 201
Raleigh, NC 27615-2097
Phone (919) 624-6533

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Wake County, Inc. Nurse Practitioner CurrentSince Aug 9, 2022 Accepting new patients
Crandell's Enterprise's Inc. CurrentSince Mar 4, 2015 Accepting new patients
Welllife House Calls CurrentSince May 1, 2025 Accepting new patients
Hospice of Wake County, Inc. CurrentSince Aug 9, 2022 Accepting new patients
North Carolina Nephrology PA CurrentSince Nov 1, 2022 Accepting new patients
North Carolina Nephrology PA Current Accepting new patients
North Carolina Nephrology PA CurrentSince Nov 1, 2022 Accepting new patients
Rehoboth Consulting Agency Past Accepting new patients
Rehoboth Consulting Agency and Community Services Past Accepting new patients
Act Medical Group PA Past Accepting new patients
Kelner Specialty Infusion Services, LLC PastSince Sep 11, 2022 Accepting new patients
Independence Medical, PA Past Accepting new patients

Locations

790 SE Cary Pkwy
Ste 101
Cary, NC 27511
Phone (919) 235-0644

145 Tilghman Dr
Ste 300
Dunn, NC 28334
Phone (910) 891-5437

916 S Main St
Ste 240
Fuquay Varina, NC 27526
Phone (919) 235-0644

216 N Bickett Blvd
Ste 5
Louisburg, NC 27549
Phone (919) 496-6922

211 E Six Forks Rd
Ste 122
Raleigh, NC 27609
Phone (919) 773-7165

250 Hospice Cir
Raleigh, NC 27607
Phone (919) 828-0890

3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409

3604 Bush St
Raleigh, NC 27609

5312 Six Forks Rd
Ste 301
Raleigh, NC 27609
Phone (919) 713-0930

8309 Six Forks Rd
Ste 201
Raleigh, NC 27615
Phone (919) 322-0422

1559 E Booker Dairy Rd
Ste B
Smithfield, NC 27577

2824 Rogers Rd
Ste 104
Wake Forest, NC 27587

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1629297429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 EAGLE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6590 TRYON RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117052",
            "telephone_number": "919-851-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "DWAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.