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KELSIE NICOLE NELSON
NPI 1134977796
Physician Assistant in Provo, UT

Active since May 08, 2024PECOS EnrolledAccepts Medicare Assignment
1800 NOVELL PL, PROVO, UT 84606(801) 375-5125 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2026, May 8, 2024 (2 updates tracked since 2024).

About Kelsie Nicole Nelson NPPES

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

KELSIE NICOLE NELSON (NPI 1134977796) is an individual physician assistant in Provo, Utah, licensed in Washington (PA70044068) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134977796
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSIE NICOLE NELSON
Location Address1800 NOVELL PLProvo, UT 84606-6171
Mailing Address1800 Novell PlProvo, UT 84606-6171
Phone(801) 375-5125
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 8, 2024
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1134977796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA70044068
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1800 NOVELL PL, Provo, UT 84606
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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 and accepts Medicare assignment

Kelsie Nicole Nelson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224520002
PECOS Enrollment IDI20251120000908
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84606 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 20

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

JESSICA WILLMORE HAYES
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KAYLEN MCGUIRE PA-S
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
ELIZABETH WUERCH
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
RACHEL VELA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (503) 403-8268
LAUREN VICTORIA BROWN
Physician Assistant
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 200-6741
HALEY ANN EDONE
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KELLIE LYNN CAMPBELL
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
MACKENZIE RIDLEY PA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125

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 Nelson's NPI number?

The NPI number for Kelsie Nelson is 1134977796. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Kelsie Nelson located?

Kelsie Nelson practices at 1800 Novell Pl, Provo, UT 84606. The listed phone number is (801) 375-5125.

What is Kelsie Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsie Nelson enrolled in Medicare?

Yes. Kelsie Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kelsie Nelson affiliated with any hospitals?

According to CMS data, Kelsie Nelson is affiliated with Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Kelsie Nelson was last updated on May 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.