Individual provider Active NPI

Kelisia Burks McKay, FNP

  • Family Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1962447045
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO4592 Issued in LA
Practice address
200 W Esplanade Ave
Suite 205
Kenner, LA 70065-2489
Phone
(504) 412-1705
Fax
(504) 412-1702
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APO4592 LA Primary

Addresses

Primary practice location

200 W Esplanade Ave
Suite 205
Kenner, LA 70065-2489

Mailing address

423 Avenue Palais Royal
P.O. Box 3059
Covington, LA 70433-6403
Phone (985) 809-7954

Other identifiers 1

IdentifierTypeStateIssuer
1528820MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070830000845 LA Practitioner - Nurse Practitioner 1850484213 Reassigns benefits to 3 organizations
I20250314003397 MS Practitioner - Nurse Practitioner 1850484213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1839 Cooper Rd
Picayune, MS 39466-2835
Phone (601) 651-3500

2375 Gause Blvd E
Pelican Urgent Care
Slidell, LA 70461-4142
Phone (985) 645-9000

Hospital & facility affiliations

  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO4592LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maxem Health Urgent Care Slidell CurrentSince Dec 3, 2019 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jan 27, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 27, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Clinic, LLC CurrentSince Jan 27, 2025 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jan 27, 2025 Accepting new patients
Checkups - la LLC Nurse Practitioner Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

200 W Esplanade Ave
Ste 205
Kenner, LA 70065
Phone (504) 412-1705

3810 Highway 22
Mandeville, LA 70471

804 Heavens Dr
Ste 102
Mandeville, LA 70471
Phone (985) 792-1141

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

2375 Gause Blvd E
Slidell, LA 70461
Phone (504) 645-9000

170 Northshore Blvd
Slidell, LA 70460
Phone (985) 641-1228

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

1839 Cooper Rd
Picayune, MS 39466
Phone (601) 651-3500

Interoperability endpoints

  • Direct secure messaging: kmckay2388644@direct.ochsner.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1962447045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 AVENUE PALAIS ROYAL",
            "address_2": "P.O. BOX 3059",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336403",
            "telephone_number": "985-809-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 205",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-412-1705",
            "fax_number": "504-412-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "KELISIA",
        "middle_name": "BURKS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO4592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528820",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.