Kelsey Jane Staller, APRN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14995 Issued in CT

Practice address

282 Main Street Ext Ste A3
Middletown, CT 06457-4467

Phone

(860) 270-0506

NPI assigned

Jul 1, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• It Is Well Integrative Partners

  • Primary Care Clinic/Center
  • Middletown, CT
  • NPI 1598464042
  NPD

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1962391029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MICHIGAN CIR",
            "city": "OAKDALE",
            "state": "CT",
            "postal_code": "063701540",
            "telephone_number": "860-941-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MAIN STREET EXT STE A3",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574467",
            "telephone_number": "860-270-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLER",
        "first_name": "KELSEY",
        "middle_name": "JANE",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Sposa, CRNA
• Spring Street Psychiatric Group
• Anne St Hilaire, LPC
• Jason Thomas St Peter, OD
• Kristen Stack, LCSW
• Kayla Eileen Stalph
• Sharon Staniforth
• Elizabeth A Stankiewicz, APRN
• Jane A Stanton, LCSW
• Patricia A Stanton, APRN

• Family Nurse Practitioner in Middletown, CT
• Providers in Middletown, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.