KELSEY LAUREN ENNIS CNM, WHNP-BC
NPI 1033724372
Nurse Practitioner - Obstetrics & Gynecology in Santa Monica, CA

Q: What is Kelsey Ennis's NPI number?

The NPI number for Kelsey Ennis is 1033724372. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Q: What is Kelsey Ennis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Ennis was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since September 14, 2020PECOS Enrolled

1417 2ND ST STE D, SANTA MONICA, CA 90401(646) 650-5337(646) 871-6820 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelsey Lauren Ennis Cnm, Whnp-bc NPPES

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

KELSEY LAUREN ENNIS CNM, WHNP-BC (NPI 1033724372) is an individual obstetrics & gynecology provider in Santa Monica, California, licensed in Virginia (0024180210) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033724372

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameKELSEY LAUREN ENNISCredential: CNM, WHNP-BC

Location Address1417 2ND ST STE DSanta Monica, CA 90401-2399

Mailing Address1417 2nd St Ste DSanta Monica, CA 90401-2399 · (918) 857-8740

Phone(646) 650-5337

Fax(646) 871-6820

Sole ProprietorYes

Enumeration DateSeptember 14, 2020

Last NPPES UpdateMarch 15, 2024

NPPES CertifiedNovember 10, 2020

✔ NPI 1033724372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in VA · 0024180210

Also ListedRegistered NurseTaxonomy 163W00000X · License R0133249 (OK)

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

1417 2ND ST STE D, Santa Monica, CA 90401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Lauren Ennis Cnm, Whnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. NICOLE OBERFOELL MD

Family Medicine

1417 2ND ST STE D
SANTA MONICA, CA 90401

Los Angeles County (424) 321-4297

AJA LIN JONES NP

Nurse Practitioner (Psychiatric/Mental Health)

1417 2ND ST STE D
SANTA MONICA, CA 90401

Los Angeles County (646) 650-5337

NASYA HURTADO LAC.

Acupuncturist

1417 2ND ST STE D
SANTA MONICA, CA 90401

Los Angeles County (646) 650-5337

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 Ennis's NPI number?

The NPI number for Kelsey Ennis is 1033724372. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Where is Kelsey Ennis located?

Kelsey Ennis practices at 1417 2nd St Ste D, Santa Monica, CA 90401. The listed phone number is (646) 650-5337.

What is Kelsey Ennis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Kelsey Ennis enrolled in Medicare?

Yes. Kelsey Ennis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Ennis was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.