Individual provider Active NPI

Kelsey Diane West, MD

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1992067375
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17524 Issued in NV
Practice address
123 17TH St Brigham BLDG Ms 316
Reno, NV 89557-3050
Phone
(775) 784-1533
Fax
(775) 784-8075
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17524 NV Primary

Addresses

Primary practice location

123 17TH St Brigham BLDG Ms 316
Reno, NV 89557-3050

Mailing address

1664 N Virginia St # Ms -1332
Reno, NV 89557-0001
Phone (775) 682-8175

Other identifiers 1

IdentifierTypeStateIssuer
1205848132MedicaidNV

Other names 1

  • Kelsey Diane Worthington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820003646 NV Practitioner - Family Practice 7517283393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Health Management CompanyGroup PAC ID 0244139798, 184 clinicians

Practice addresses (Care Compare)

745 W Moana LN
Reno, NV 89509-4991
Phone (775) 982-1000

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
75.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Medical School Associates North, Inc. CurrentSince Jul 23, 2018 Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Jul 23, 2018 Accepting new patients
Hometown Health Management Company Family Medicine Current Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Oct 28, 2024 Accepting new patients
Renown Medical School Associates North, Inc. Family Medicine CurrentSince Jul 23, 2018 Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

745 W Moana Ln
Reno, NV 89509
Phone (775) 334-3033

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1664 N Virginia St
Ste 234F
Reno, NV 89557

123 17th St Ms316
Reno, NV 89557

1664 N Virginia St
#1332
Reno, NV 89557

123 17th St Brigham
Bldg MS 316
Reno, NV 89557

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

Interoperability endpoints

  • Direct secure messaging: kwest66487@direct.renown.org

Organizations & group practices 6

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 3

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1992067375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST # MS -1332",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570001",
            "telephone_number": "775-682-8175",
            "fax_number": "775-327-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 17TH ST BRIGHAM BLDG MS 316",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895573050",
            "telephone_number": "775-784-1533",
            "fax_number": "775-784-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "KELSEY",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "17524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205848132",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "WORTHINGTON",
            "middle_name": "DIANE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.