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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. KELSEY LYNN NICKERSON RN
NPI 1023915014
Registered Nurse - Case Management in Roseville, CA

Active since October 22, 2026
11801 GO FOR BROKE RD, ROSEVILLE, CA 95678(916) 409-8258(916) 409-8267 Get Directions Write a Review

NPPES record added: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Kelsey Lynn Nickerson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELSEY LYNN NICKERSON RN (NPI 1023915014) is an individual case management provider in Roseville, California, licensed in California (849233) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1023915014
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameMRS. KELSEY LYNN NICKERSONCredential: RN
Location Address11801 GO FOR BROKE RDRoseville, CA 95678-7055
Mailing Address1929 Hamersley LnLincoln, CA 95648-3276 · (916) 412-2694
Phone(916) 409-8258
Fax(916) 409-8267
Sole ProprietorNo
Enumeration DateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1023915014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in CA · 849233
11801 GO FOR BROKE RD, Roseville, CA 95678
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIVE HEALTH, A PROFESSIONAL NURSING CORPORATION
Nursing Care
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (619) 565-9137
MRS. MONIQUE ROBINSON. LVN
Licensed Vocational Nurse
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (916) 409-8100
MR. STEVEN CHARLES FRANK PHYSICIAN ASSISTANT
Physician Assistant
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (916) 409-8261
JEANNETTE SHAW BSN, RN
Registered Nurse
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (916) 409-8261
DIANA MCGINNIS RN
Registered Nurse
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (916) 409-8261
MS. KIMBERLY REY NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (916) 409-8262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Nickerson's NPI number?

The NPI number for Kelsey Nickerson is 1023915014. It was assigned to this individual provider in the NPPES registry on October 22, 2026.

Where is Kelsey Nickerson located?

Kelsey Nickerson practices at 11801 Go For Broke Rd, Roseville, CA 95678. The listed phone number is (916) 409-8258.

What is Kelsey Nickerson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Kelsey Nickerson was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.