Individual provider Active NPI

Brent Kelsch, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1891187340
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7571 Issued in AZ
Practice address
4135 S Power Rd Ste 129
Mesa, AZ 85212-3627
Phone
(480) 751-3091
Fax
(480) 751-3095
NPI assigned
Feb 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 AP7571 AZ Primary

Addresses

Primary practice location

4135 S Power Rd Ste 129
Mesa, AZ 85212-3627

Mailing address

4135 S Power Rd Ste 129
Mesa, AZ 85212-3627
Phone (480) 751-3091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150404000006 AZ Practitioner - Nurse Practitioner 6103144001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

4135 S Power Rd
Suite 120
Mesa, AZ 85212-3626
Phone (480) 892-7000

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Walk-in Medical Clinic CurrentSince Mar 1, 2015 Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Jul 1, 2022 Accepting new patients

Locations

560 N Camino Mercado
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-5538

16605 E Palisades Blvd
Ste 150
Fountain Hls, AZ 85268
Phone (480) 837-4300

2721 S San Tan Village Pkwy
Ste 104
Gilbert, AZ 85295
Phone (480) 500-9307

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

4135 S Power Rd
Ste 129
Mesa, AZ 85212
Phone (480) 751-3091

4135 S Power Rd
Ste 129120
Mesa, AZ 85212

4135 S Power Rd
Ste 120
Mesa, AZ 85212
Phone (480) 892-7000

8914 N 91st Ave
Ste 100A
Peoria, AZ 85345
Phone (623) 877-0100

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

21321 E Ocotillo Rd
Ste 133134
Queen Creek, AZ 85142
Phone (480) 987-5525

21321 E Ocotillo Rd
Ste 133
Queen Creek, AZ 85142
Phone (480) 900-7256

286 S Lenzner Ave
Sierra Vista, AZ 85635
Phone (520) 452-0388

5981 E Grant Rd
Ste 115
Tucson, AZ 85712
Phone (520) 886-5315

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1891187340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123627",
            "telephone_number": "480-751-3091",
            "fax_number": "480-741-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123627",
            "telephone_number": "480-751-3091",
            "fax_number": "480-751-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSCH",
        "first_name": "BRENT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.