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KELSIE PEGRAM
NPI 1083141733
Family Medicine in Ginowan, OKINAWA

Active since May 12, 2017PECOS Enrolled
676 FUTENMA, NAVAL HOSPITAL OKINAWA, GINOWAN, OKINAWA 90122(898) 971-9355 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2024, Aug 21, 2023, May 12, 2017 (3 updates tracked since 2017).

About Kelsie Pegram NPPES

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

KELSIE PEGRAM (NPI 1083141733) is an individual family medicine provider in Ginowan, OKINAWA, licensed in Nebraska (30978) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083141733
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELSIE PEGRAM
Location Address676 FUTENMA, NAVAL HOSPITAL OKINAWAGinowan, OKINAWA 90122
Mailing Address676 Futenma, Us Naval Hospital OkinawaGinowan, OKINAWA 90122
Phone(898) 971-9355
Sole ProprietorNo
Enumeration DateMay 12, 2017
Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1083141733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 30978
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsie Pegram 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.

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. MATHEW BOWERS MD
Orthopaedic Surgery
676 FUTENMA
GINOWAN, OKINAWA 90122
(098) 971-9355
LEANNE NIKOL YOUNG RN, BSN
Registered Nurse (Ambulatory Care)
676 FUTENMA
GINOWAN, OKINAWA 90122
(098) 971-9355
US NAVAL HOSPITAL OKINAWA
Registered Nurse (Case Management)
676 FUTENMA
GINOWAN, OKINAWA 90122
(315) 646-3628

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 Kelsie Pegram's NPI number?

The NPI number for Kelsie Pegram is 1083141733. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Where is Kelsie Pegram located?

Kelsie Pegram practices at 676 Futenma Naval Hospital Okinawa, Ginowan, OKINAWA 90122. The listed phone number is (898) 971-9355.

What is Kelsie Pegram's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelsie Pegram enrolled in Medicare?

Yes. Kelsie Pegram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsie Pegram was last updated on July 23, 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.