Kelsey Cameron
Individual provider Active NPI Primary Care Nurse Practitioner · Saugus, MA
NPI 1801668124 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1801668124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- RN2374425 (MA)
- Practice address
- 371 Broadway
Saugus, MA 01906-1986 - Phone
- (781) 233-1000
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Afc Physicians of Massachusetts, PC
Practice addresses (Care Compare)
415 Cooley St
Unit 3
Springfield, MA 01128-1149
Phone (413) 782-4878
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240826000417 | MA | Practitioner - Nurse Practitioner | 7416496237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2374425 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Massachusetts, PC | Current |
Accepting new patients | |
| Afc Physicians of Massachusetts | Current |
Accepting new patients | |
| Afc Physicians of Massachusetts, PC | Current | Accepting new patients |
Locations
371 Broadway
Saugus, MA 01906
Phone (781) 233-1000
415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN2374425 | MA | Yes |
Addresses
Primary practice location
371 Broadway
Saugus, MA 01906-1986
Mailing address
371 Broadway
Saugus, MA 01906-1986
Phone (781) 233-1000
Other providers in Saugus, MA
- Karl Bryan III
- Natasha Rohinton Buhariwalla
- Robert Arnold Buonfiglio
- Margaret Burns
- Juliet Busulwa
- Samantha Lyons Carey
- Emily Carroca
- Sylvia Helen Caruso
- Amanda Carvalho Da Silva
- Molly Elizabeth Casey
All providers in Saugus, MA · Primary Care Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.