Individual provider Active NPI

Kelsey Toliver Watts, DNP, FNP-BC

  • Family Nurse Practitioner
  • Conover, NC
National Provider Identifier
1669158010
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018315 Issued in NC
Practice address
1105 Fairgrove Church Rd SE
Conover, NC 28613-9090
Phone
(828) 267-0551
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 5018315 NC Primary

Addresses

Primary practice location

1105 Fairgrove Church Rd SE
Conover, NC 28613-9090

Mailing address

1105 Fairgrove Church Rd SE
Conover, NC 28613-9090
Phone (828) 267-0551

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
I20231120002284 NC Practitioner - Nurse Practitioner 1557719135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

1105 Fairgrove Church Rd SE
Conover, NC 28613-9090
Phone (828) 267-0551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5018315NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC Family CurrentSince Mar 15, 2024 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Mar 15, 2024 Accepting new patients
DLP Frye Medical Group LLC Family Past Accepting new patients
Appalachian Primary Care, PLLC PastSince Jun 1, 2023 Accepting new patients

Locations

1105 Fairgrove Church Rd SE
Conover, NC 28613
Phone (828) 267-0551

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

Interoperability endpoints

  • Direct secure messaging: kelsey.watts.1@15786.direct.athenahealth.com

Organizations & group practices 4

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1669158010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 FAIRGROVE CHURCH RD SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139090",
            "telephone_number": "828-267-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 FAIRGROVE CHURCH RD SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139090",
            "telephone_number": "828-267-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "KELSEY",
        "middle_name": "TOLIVER",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

Verify at the official NPI Registry.