Individual provider Active NPI

Kelsey A Reed, FNP-C

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1922628213
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903763 Issued in MS
Practice address
5721 USA Dr N
Mobile, AL 36688-0001
Phone
(662) 205-0789
NPI assigned
Apr 16, 2020
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029588 CA
Family Nurse Practitioner 363LF0000X 903763 MS Primary

Addresses

Primary practice location

5721 USA Dr N
Mobile, AL 36688-0001

Mailing address

898 Lynden Blvd
Tupelo, MS 38801-6316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, VA, IA, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230814002619 MS Practitioner - Nurse Practitioner 2365804945 Reassigns benefits to 4 organizations
I20250403002769 VA Practitioner - Nurse Practitioner 2365804945 Reassigns benefits to 1 organization
I20250407000996 IA Practitioner - Nurse Practitioner 2365804945 Reassigns benefits to 1 organization
I20250501002801 CA Practitioner - Nurse Practitioner 2365804945 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95029588CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Nov 15, 2024 Accepting new patients
Molina Healthcare of California CurrentSince Apr 22, 2025 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Dec 20, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Apr 22, 2025 Accepting new patients
Signify Health, LLC CurrentSince May 3, 2023 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Nov 15, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 24, 2025 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

400 E Court Ave
Ste 110
Des Moines, IA 50309

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (662) 390-7670

1424 E Main St
Tupelo, MS 38804
Phone (662) 350-3550

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1922628213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 LYNDEN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 USA DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366880001",
            "telephone_number": "662-205-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KELSEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029588",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.