Active NPI
Kelsey Diane West, MD
- Family Medicine Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17524
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205848132 | Medicaid | NV |
Other names 1
- Kelsey Diane Worthington
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
Enrollment records 1
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
Practice addresses (Care Compare)
745 W Moana LN
Reno, NV 89509-4991
Phone (775) 982-1000
Hospital & facility affiliations
- Renown Regional Medical Center
- Renown South Meadows Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.15 of 100
- Quality
- 78.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.68
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renown Medical School Associates North, Inc. | Current | Accepting new patients | |
| Renown Medical School Associates North, Inc. | Current | Accepting new patients | |
| Hometown Health Management Company | Family Medicine | Current | Accepting new patients |
| Hometown Health Management Company | Family Medicine | Current | Accepting new patients |
| Renown Medical School Associates North, Inc. | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Sparks, NV
- NPI 1861445892
-
- Family Medicine Physician
- Reno, NV
- NPI 1841761277
-
- Speech-Language Pathologist
- Reno, NV
- NPI 1285129056
-
- Obstetrics & Gynecology Physician
- Reno, NV
- NPI 1346408960
-
- Family Medicine Physician
- Reno, NV
- NPI 1992842660
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.