Individual provider Active NPI

Kelsey O'Brien Morgosh, MD

  • Family Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1679079123
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63480 Issued in AZ
Practice address
2920 N 4TH St
Flagstaff, AZ 86004-1816
Phone
(928) 522-9879
Fax
(928) 522-9880
NPI assigned
Apr 3, 2018
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 63480 AZ Primary

Addresses

Primary practice location

2920 N 4TH St
Flagstaff, AZ 86004-1816

Mailing address

PO Box 1231
Tucson, AZ 85702-1231
Phone (520) 670-3909

Other practice location 1

401 Railroad St W
Missoula, MT 59802-4109
Phone (406) 258-4789

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210706002737 AZ Practitioner - Family Practice 6103252754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Country Healthcare IncGroup PAC ID 8820981053, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

2920 N 4TH St
Flagstaff, AZ 86004-1816

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63480AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. CurrentSince Aug 1, 2021 Accepting new patients
North Country Healthcare, Inc. CurrentSince Aug 1, 2021 Accepting new patients
North Country Healthcare, Inc. Family Medicine Current Accepting new patients
North Country Healthcare, Inc. Family Medicine Past Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients
Flagstaff Medical Center Past Accepting new patients

Locations

1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300

1501 S Yale St
Ste 252
Flagstaff, AZ 86001
Phone (928) 774-1811

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177

3505 Western Ave
Ste B
Kingman, AZ 86409
Phone (928) 692-0849

2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800

126 E Main St
Ste B
Payson, AZ 85541
Phone (928) 472-3700

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1679079123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857021231",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041816",
            "telephone_number": "928-522-9879",
            "fax_number": "928-522-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Railroad St W",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024109",
            "country_code": "US",
            "telephone_number": "406-258-4789",
            "fax_number": "406-258-4732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGOSH",
        "first_name": "KELSEY",
        "middle_name": "O'BRIEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "63480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.