Kelsie Elizabeth Judd, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP020151 Issued in PA

Practice address

406 Broad St
Milford, PA 18337-1552

Phone

(570) 409-7177

Fax

(877) 665-7753

NPI assigned

Apr 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

RPG HealthGroup PAC ID 1658781364, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Healthcare of NE PA, LLC Home health agency, Moosic, PA, CCN 397726

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• RPG Health

  • Primary Care Nurse Practitioner
  • Milford, PA
  • NPI 1457967499
  Medicare reassignment Care Compare group Authorized official

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

• Residential Healthcare of NE PA, LLC

  • Home Health Agency
  • Moosic, PA
  • NPI 1215238548
  Care Compare affiliation

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1912460668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BROAD ST",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371552",
            "telephone_number": "570-409-7177",
            "fax_number": "877-665-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BROAD ST",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371552",
            "telephone_number": "570-409-7177",
            "fax_number": "877-665-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "KELSIE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP020151",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Imbrie, PSY.D.
• Amy Lynn Jayne, OTR/L
• Thomas P Jeffers, DC CCSP
• Laurie Jones
• Justin Joseph, DDS
• Kathleen a Lyon, MD PC
• Cristina Kawan-Hemler
• Rebecca May Keyes
• Brianna Kiretchjian, PA-C
• Jessica Ann Kovalchik, D.C.

• Primary Care Nurse Practitioner in Milford, PA
• Providers in Milford, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.