Kelsie Rae Fournier, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

380 County Route 51
Malone, NY 12953-4504

Phone

(518) 483-2600

Fax

(518) 483-0115

NPI assigned

May 28, 2019

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1962069716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 COUNTY ROUTE 51",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129534504",
            "telephone_number": "518-483-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 COUNTY ROUTE 51",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129534504",
            "telephone_number": "518-483-2600",
            "fax_number": "518-483-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "KELSIE",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Fisher, DPT
• Aimee Fleury
• Jordan Fleury
• Jason Fontenot, M.D.
• Susan Elizabeth Foster, FNP
• Gabriella Christine Fowler, DPT
• Megan Fowler, LMT
• Christine Fox
• Xochitl Fox, RN
• Lisa S Francis, PHYSICAL THERAPIST

• Physician Assistant in Malone, NY
• Providers in Malone, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.

Verify at the official NPI Registry.