Individual provider Active NPI

Kelsie Stevens

  • Family Nurse Practitioner
  • Bemus Point, NY
National Provider Identifier
1629990460
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F359278-01 Issued in NY
Practice address
4147 Dutch Hollow Rd
Bemus Point, NY 14712-9751
Phone
(716) 365-9534
NPI assigned
Jul 25, 2026
Last updated
Jul 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F359278-01 NY Primary

Addresses

Primary practice location

4147 Dutch Hollow Rd
Bemus Point, NY 14712-9751

Mailing address

4147 Dutch Hollow Rd
Bemus Point, NY 14712-9751
Phone (716) 365-9534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F359278-01NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1784937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1629990460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 DUTCH HOLLOW RD",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129751",
            "telephone_number": "716-365-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 DUTCH HOLLOW RD",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129751",
            "telephone_number": "716-365-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KELSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-25",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F359278-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemus Point, NY

Sources for this page

Verify at the official NPI Registry.