Kelsey Lynn De Villiers, FNP - C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

305140 Issued in AZ

Practice address

3540 E Baseline Rd
Phoenix, AZ 85042-9627

Phone

(623) 267-5200

NPI assigned

Mar 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Khakwani and Mohammad Medical PCGroup PAC ID 8527412659, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdevilliers293730@pdshealth.direct-ci.com

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.

• Khakwani and Mohammad Medical PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1518672278
  Medicare reassignment Care Compare group NPD
• Khakwani and Mohammad Medical PC

  • Family Medicine Physician
  • Buckeye, AZ
  • NPI 1255046918
  NPD
• Khakwani and Mohammad Medical PC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1932968369
  NPD

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1669222865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 E ELGIN ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252429",
            "telephone_number": "480-818-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 E BASELINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850429627",
            "telephone_number": "623-267-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VILLIERS",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "credential": "FNP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "305140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Ocampo Medical Partners PLLC
• Michael De Rubeis, O.D.
• Gina De Simone, PSYD
• Rachel De Souza Filgueiras Pinto, MD
• Pauline De Vet, BC-MT, NMT
• Jamie De Vlieger, LPC
• De-Knot, LLC
• Mayy Shaaban Deadrick, M.D.
• Charles David Deakins, M.D.
• Candace R. Deal

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.