Kelsey Kay Sorensen, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01479 Issued in RI

Practice address

1150 Reservoir Ave Ste 203
Cranston, RI 02920-6043

Phone

(410) 259-0340

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, RI2 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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rhode Island Counseling Associates LLCGroup PAC ID 7618219544, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Rhode Island Counseling Associates LLC

  • Mental Health Counselor
  • Cranston, RI
  • NPI 1336638303
  Medicare reassignment Care Compare group
• Kelsey Sorensen LLC

  dba Northern Oak Wellness

  • Psychiatry Physician
  • Coon Rapids, MN
  • NPI 1932832854
  NPD Authorized official
• Complete Health Primary Care LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Warwick, RI
  • NPI 1316516768

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1972022549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 COUNTY ROAD 10 NE # 189",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206043",
            "telephone_number": "410-259-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "KELSEY",
        "middle_name": "KAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "PA01479",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "PA01479",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomoko Snyder, CNP
• Ibrahim Adewale Sofolahan, OWNER
• Sukanya Somasundar, M.D.
• Sommerfly, LLC
• Young DO Song
• Nisa Nikol Sorensen
• Susan M Soscia, PT, ATC
• Jessica Soto, M.D.
• Roy Souaid, M.D.
• Erica Sousa, M.A.

• Physician Assistant in Cranston, RI
• Providers in Cranston, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.