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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelsey Ennis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Women's Health Services Of Central Virginia, Inc.
2,205 mi
Obstetrics & Gynecology
114 NATIONWIDE DR
Lynchburg, VA 24502
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Womens Health Services Of Central Virginia Inc
  • 33 clinicians in this Medicare group
NPI 1053417196 (434) 239-7890
The Physician And Midwife Collaborative Practice
2,302 mi
Obstetrics & Gynecology
12508 LAKE RIDGE DR
Lake Ridge, VA 22192
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1073799839 (District of Columbia)
  • 28 clinicians in this Medicare group
NPI 1386829794 (703) 491-1122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Kelsey Ennis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Ennis reassigns Medicare benefits to 2 organizations: Women's Health Services Of Central Virginia, Inc. (Lynchburg, VA) and The Physician And Midwife Collaborative Practice (Lake Ridge, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Ennis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.