Individual provider Active NPI

Kelsey Nicole Kaiser, FNP-C

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1740849900
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002699 Issued in FL
Practice address
2911 Roberts Ave
Tallahassee, FL 32310-5007
Phone
(850) 644-1543
NPI assigned
Jun 11, 2019
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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 APRN11002699 FL Primary

Addresses

Primary practice location

2911 Roberts Ave
Tallahassee, FL 32310-5007

Mailing address

2930 Dasha LN
Tallahassee, FL 32309-3593
Phone (954) 232-3396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20190823000307 FL Practitioner - Nurse Practitioner 8224366653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Practice Plan IncGroup PAC ID 3971608993, 27 clinicians

Practice addresses (Care Compare)

2911 Roberts Ave
Tallahassee, FL 32310-5007
Phone (850) 644-1543

Merit-based Incentive Payment System (MIPS)

Final score
87.33 of 100Reported as group
Quality
89.31
Promoting interoperability
100
Improvement activities
40
Cost
68.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11002699FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Practice Plan Inc CurrentSince Feb 24, 2023 Accepting new patients

Locations

2911 Roberts Ave
Tallahassee, FL 32310
Phone (850) 644-1542

4449 Meandering Way
Tallahassee, FL 32308
Phone (850) 640-1416

Interoperability endpoints

  • Direct secure messaging: kelsey.kaiser.1@19268.direct.athenahealth.com
  • Direct secure messaging: kelsey.kaiseraprn.p1@direct.tallyent.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1740849900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 DASHA LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093593",
            "telephone_number": "954-232-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ROBERTS AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323105007",
            "telephone_number": "850-644-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.