Kelsey Melane Dement

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906449 Issued in MS

Practice address

39 South Street
Caledonia, MS 39740

Phone

(662) 356-1560

Fax

(662) 356-1569

NPI assigned

Dec 12, 2023

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Webster Urgent Care Caledonia LLCGroup PAC ID 2961907860, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12573/brand/1/csg/1/fhir/r4

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.

• Webster Urgent Care Caledonia LLC

  • Urgent Care Clinic/Center
  • Caledonia, MS
  • NPI 1912893322
  Medicare reassignment Care Compare group NPD
• Elite Care Family Medicine, LLC

  • Primary Care Clinic/Center
  • Guntown, MS
  • NPI 1194128306
  NPD (past)

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1720856552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50228 GREENWOOD SPRINGS RD",
            "city": "GREENWOOD SPRINGS",
            "state": "MS",
            "postal_code": "388488747",
            "telephone_number": "662-436-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SOUTH STREET",
            "city": "CALEDONIA",
            "state": "MS",
            "postal_code": "39740",
            "telephone_number": "662-356-1560",
            "fax_number": "662-356-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMENT",
        "first_name": "KELSEY",
        "middle_name": "MELANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "912758",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blissful Moments Doula & Birth Services, LLC.
• Caledonia Community Clinic, LLC
• Clark Drug Company, LLC (Caledonia Pharmacy)
• Robert Justin Clark, PHARMD
• Kathryn Comer
• Fig Leaf, LLC (Caledonia Community Clinic)
• Misty S Glasgow, OTR
• Golden Triangle Family Eye Care, PLLC (Caledonia Vision Center)
• Lisa Jordan Hudson, FNP-C
• Jrco, LLC (Caledonia Medical Care)

• Family Nurse Practitioner in Caledonia, MS
• Providers in Caledonia, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.