Active NPI
Kelsey Hundley
- Neurological Surgery Physician
- Portland, OR
National Provider Identifier
1881057636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD214447
- Practice address
- 3303 S Bond Ave
Portland, OR 97239-4501 - Phone
- (503) 494-4314
- Fax
- (503) 346-6810
- NPI assigned
- Mar 30, 2016
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD214447 | OR | Primary |
Addresses
Primary practice location
3303 S Bond Ave
Portland, OR 97239-4501
Mailing address
1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537
Phone (866) 617-6855
Other practice location 1
4301 W Markham St
Slot 507
Little Rock, AR 72205-7101
Phone (501) 686-5356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 412-1860
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana State University School of Med in New Orleans Faculty Grou | Current | Accepting new patients | |
| Children'S Hospital | Past | Accepting new patients | |
| Lsuhsc New Orleans Physicians | Past | Accepting new patients |
Locations
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
Organizations & group practices 3
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.
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1932492626
-
- Children's Hospital
- New Orleans, LA
- NPI 1104819366
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1447487145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1881057636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SW 5TH AVE STE 500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015537",
"telephone_number": "866-617-6855",
"fax_number": "503-346-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 S BOND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394501",
"telephone_number": "503-494-4314",
"fax_number": "503-346-6810"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St",
"address_2": "Slot 507",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-5356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNDLEY",
"first_name": "KELSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OR",
"license": "MD214447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.