Cynthia Kelso, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28322 Issued in TN

Practice address

1070 Morrow Crest Dr
Hernando, MS 38632-7299

Phone

(901) 216-4374

NPI assigned

Apr 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crestwyn Health Group, LLCGroup PAC ID 5799084984, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• DMC-Memphis, LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1629296058
  Medicare reassignment NPD
• DMC-Memphis, LLC

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1437188216
  NPD

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1841879103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 MORROW CREST DR",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386327299",
            "telephone_number": "901-216-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 MORROW CREST DR",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386327299",
            "telephone_number": "901-216-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "CYNTHIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica W Jones, RN
• Lashundria D. Jones, LMSW
• Earline H. Jordan, BA
• Kaitlyn Elizabeth Keith, PHARMD
• Molly Kelly
• Khyzor Caring Companions
• James Richard Kimmelman, DDS
• Kroger Limited Partnership I
• Kathleen Dawn La Fever, RN
• Annah Catherine Lacefield, FNP-C

• Family Nurse Practitioner in Hernando, MS
• Providers in Hernando, 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 Apr 8, 2021; 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.