Active NPI
Kelsey Payne, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Evansville, IN
National Provider Identifier
1902642457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71018592A
- Practice address
- 315 Mulberry St
Evansville, IN 47713-1252 - Phone
- (812) 421-7489
- NPI assigned
- Jul 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71018592A | IN | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN11034468 | FL |
Addresses
Primary practice location
315 Mulberry St
Evansville, IN 47713-1252
Mailing address
315 Mulberry St
Evansville, IN 47713-1252
Phone (812) 421-7489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Wound and Skin Care Inc | Current | Accepting new patients |
Locations
2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272
1361 13th Ave S
Ste 125
Jax Bch, FL 32250
Phone (904) 249-2580
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1902642457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131252",
"telephone_number": "812-421-7489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131252",
"telephone_number": "812-421-7489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "KELSEY",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-03",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71018592A",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11034468",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.