KELSEY JEAN REISCH
NPI 1063012508
Nurse Practitioner in Dallas, TX
About Kelsey Jean Reisch NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY JEAN REISCH (NPI 1063012508) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (1017568) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey Jean Reisch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Reisch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75235
- Reassigned Medicare billing, Texas enrollment
- 10 clinicians in this Medicare group
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 75235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75235
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 Reisch's NPI number?
The NPI number for Kelsey Reisch is 1063012508. It was assigned to this individual provider in the NPPES registry on October 26, 2020.
Where is Kelsey Reisch located?
Kelsey Reisch practices at 8877 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 393-2940.
What is Kelsey Reisch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelsey Reisch enrolled in Medicare?
Yes. Kelsey Reisch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelsey Reisch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Reisch reassigns Medicare benefits to Dharma MD PA (Dallas, TX). The 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 Reisch'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 Reisch was last updated on January 17, 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.
# Kelsey Jean Reisch · NPI 1063012508
Nurse Practitioner physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since October 26, 2020.
## Identity
- **NPI:** 1063012508 (Entity type: Individual)
- **Enumerated:** October 26, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1017568 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 8877 HARRY HINES BLVD, Dallas, TX 75235-1715
- **Phone:** (214) 393-2940
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dharma MD PA (NPI 1952633729, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063012508) · Data from the CMS NPPES public registry.