Individual provider Active NPI

Kelsey Ellen Redmond, ARNP

  • Family Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1689237059
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A154037 Issued in IA
Practice address
1428 2ND Ave N
Fort Dodge, IA 50501-4119
Phone
(515) 574-6110
NPI assigned
Apr 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2019

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 A154037 IA Primary

Addresses

Primary practice location

1428 2ND Ave N
Fort Dodge, IA 50501-4119

Mailing address

1980 Highway 1 NE
Solon, IA 52333-9767
Phone (309) 502-9079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190617002324 IA Practitioner - Nurse Practitioner 8820321243 Reassigns benefits to 2 organizations
I20210903001120 IL Practitioner - Nurse Practitioner 8820321243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3415 53Rd Ave
Bettendorf, IA 52722-6976
Phone (563) 742-4350

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

600 John Deere Rd
Suite 401
Moline, IL 61265-6812
Phone (309) 779-4950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A154037IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Aug 16, 2021 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Trinity Regional Medical Center CurrentSince Jun 10, 2019 Accepting new patients
Advanced Radiology, S.C. Past Accepting new patients

Locations

5185 Competition Dr
Bettendorf, IA 52722
Phone (563) 888-5660

3415 53rd Ave
Bettendorf, IA 52722
Phone (563) 742-4350

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1417 Kimberly Rd
Bettendorf, IA 52722
Phone (563) 742-4350

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1428 2nd Ave N
Fort Dodge, IA 50501
Phone (515) 573-1145

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

106 19th Ave
Ste 103
Moline, IL 61265
Phone (309) 779-7050

3904 16th St
Ste C
Moline, IL 61265
Phone (309) 581-7610

600 John Deere Rd
Ste 401
Moline, IL 61265
Phone (309) 779-3627

Interoperability endpoints

  • Direct secure messaging: kredmond680056@direct.unitypoint.org

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.

Hospital & facility affiliations 1

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": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1689237059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 HIGHWAY 1 NE",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523339767",
            "telephone_number": "309-502-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014119",
            "telephone_number": "515-574-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "KELSEY",
        "middle_name": "ELLEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A154037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.