Kelsey Underwood, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11263-33 Issued in WI

Practice address

610 W Adams St
Black River Falls, WI 54615-9110

Phone

(715) 284-4311

NPI assigned

Sep 8, 2021

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

Other names 1

• Kelsey Rogness Former name

Medicare fee-for-service enrollment

Enrolled in WI

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black River Health IncGroup PAC ID 3173431178, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Black River Memorial Hospital Hospital, Black River Falls, WI, CCN 521333

Merit-based Incentive Payment System (MIPS)

Final score

89.18 of 100Reported as group

Quality

87.29

Promoting interoperability

100

Improvement activities

40

Cost

65.34

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHJBDA
• Direct secure messaging: kelsey.underwood@kcld.eclinicaldirectplus.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.

• Black River Health Inc

  • Critical Access Hospital
  • Black River Falls, WI
  • NPI 1811940331

  WI

  Medicare reassignment Care Compare group NPD (past)
• Krohn Clinic LTD.

  • Family Medicine Physician
  • Black River Falls, WI
  • NPI 1790777621

  WI

  Medicare reassignment NPD
• Black River Health Inc

  • Rural Health Clinic/Center
  • Black River Falls, WI
  • NPI 1255183182
  Care Compare group NPD
• Black River Health Inc

  • Oxygen Equipment & Supplies (DME)
  • Black River Falls, WI
  • NPI 1285782250
  Care Compare group NPD
• Black River Health Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Black River Falls, WI
  • NPI 1003914011
  Care Compare group
• Black River Health Inc

  • Rural Health Clinic/Center
  • Black River Falls, WI
  • NPI 1568196764
  Care Compare group

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

• Black River Health Inc

  • Critical Access Hospital
  • Black River Falls, WI
  • NPI 1811940331

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1700555331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W ADAMS ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546159010",
            "telephone_number": "715-284-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W ADAMS ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546159110",
            "telephone_number": "715-284-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "KELSEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "11263-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "ROGNESS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Symphony Respiratory Services
• James L Szymanski, PT
• Jess M Thill, RN
• Nicholas Raymond Thompson, DPM
• Jodie Tirado
• Beau Vesely, D.P.M
• Waarvik Drug Inc
• Carolyn Wakeman, M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• All providers in Black River Falls, WI
• Nurse Practitioner in Wisconsin

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