Active NPI
Kelsey Joy Telander
- Physician Assistant
- Marysville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61212
- Practice address
- 726 4TH St
Marysville, CA 95901-5656 - Phone
- (530) 749-4300
- NPI assigned
- Jun 23, 2022
- Last updated
- Jun 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61212 | CA | Primary |
Addresses
Primary practice location
726 4TH St
Marysville, CA 95901-5656
Mailing address
4751 Chancery Way
Carmichael, CA 95608-6255
Phone (916) 402-0438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1235 W Vine St
Suite 20
Lodi, CA 95240-5144
Phone (209) 334-3411
3 Park Ctr Dr
Suite 100
Sacramento, CA 95825-8340
Phone (916) 454-4861
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61212 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitreo-Retinal Medical Group, Inc. | Current | Accepting new patients | |
| Vitreo-Retinal Medical Group, Inc | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Vitreo-Retinal Medical Group, Inc. | Current | Accepting new patients | |
| Capitol Urology Medical Group Inc | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3 Park Center Dr
Ste 100
Sacramento, CA 95825
Phone (916) 454-4861
3 Park Center Dr
Ste 210
Sacramento, CA 95825
Phone (916) 454-6191
5775 Greenback Ln
Sacramento, CA 95841
Phone (916) 339-3655
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
Interoperability endpoints
- kelsey.telander.d1.p1@direct.retinalmd.nextgenshare.com
Organizations & group practices 11
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.
-
dba Modesto Retina Center, Inc.
- Retina Specialist (Ophthalmology) Physician
- Modesto, CA
- NPI 1114010949
-
- Emergency Medicine Physician
- Lodi, CA
- NPI 1578958450
-
- Emergency Medicine Physician
- Delano, CA
- NPI 1447288345
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
dba Retinal Consultants Medical Group
- Retina Specialist (Ophthalmology) Physician
- Tracy, CA
- NPI 1326880642
-
dba Retinal Consultants Medical Group
- Retina Specialist (Ophthalmology) Physician
- Sacramento, CA
- NPI 1942842984
-
- Medical Specialty Clinic/Center
- Sacramento, CA
- NPI 1053379057
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lodi Memorial Hospital
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1750012498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4751 CHANCERY WAY",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086255",
"telephone_number": "916-402-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 4TH ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015656",
"telephone_number": "530-749-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELANDER",
"first_name": "KELSEY",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA61212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.