Kelsey C Pennell

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

152 Burton PL
Edmond, OK 73013-4408

Phone

(417) 793-3774

NPI assigned

Jan 15, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kelsey Russow Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1932067048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BURTON PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134408",
            "telephone_number": "417-793-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BURTON PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134408",
            "telephone_number": "417-793-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNELL",
        "first_name": "KELSEY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "RUSSOW",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarai Peguero
• Amber Peitzmeier
• Marques Ashton Pena, MD
• Megan Abagail Pena
• Joseph William Penn
• Rhonda Diane Pennington, OTR/L
• Ronald Gene Pense II
• People First Health Care Inc. Dba Reach Out Street Medicine Clinic
• Perceptions Counseling and Consulting LLC
• Jedidiah J Perdue, MD, MPH

• Peer Specialist in Edmond, OK
• Providers in Edmond, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.