Individual provider Active NPI

Kelsi N Locke, FNP

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1992263032
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140899 Issued in TX
Practice address
700 Dotsy Ave
Odessa, TX 79763-4238
Phone
(432) 333-3295
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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 AP140899 TX Primary

Addresses

Primary practice location

700 Dotsy Ave
Odessa, TX 79763-4238

Mailing address

109 Old Course Rd
Odessa, TX 79765-8693
Phone (432) 999-0199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191217001766 TX Practitioner - Nurse Practitioner 8022442508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotty Ortega MD LLPGroup PAC ID 2567742943, 12 clinicians

Practice addresses (Care Compare)

3001 N Faudree Rd
Odessa, TX 79765-8875
Phone (432) 332-1386

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Scotty Ortega MD LLP CurrentSince Sep 2, 2025 Accepting new patients
MCH Professional Care PastSince Dec 15, 2021 Accepting new patients
John H. Doran,M.D., P.L.LC. Past Accepting new patients
Weldon F Butler MD PA Past Accepting new patients

Locations

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

3001 N Faudree Rd
Odessa, TX 79765
Phone (432) 332-1386

1941 E 37th St
Odessa, TX 79762
Phone (432) 366-0207

2487 E 11th St
Odessa, TX 79761
Phone (432) 332-1386

Organizations & group practices 5

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": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1992263032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OLD COURSE RD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658693",
            "telephone_number": "432-999-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DOTSY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634238",
            "telephone_number": "432-333-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "KELSI",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.