KELSEY HOUSE
NPI 1164815676
Nurse Practitioner - Gerontology in North Port, FL

Active since March 08, 2015PECOS EnrolledAccepts Medicare Assignment
55.2/100
CMS Quality Rating
3065 TOWN TER, NORTH PORT, FL 34286(239) 989-7375 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2022, Jun 20, 2019, Mar 3, 2016 (3 updates tracked since 2016).

About Kelsey House NPPES

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

KELSEY HOUSE (NPI 1164815676) is an individual gerontology provider in North Port, Florida, licensed in Michigan (4704318096) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164815676
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKELSEY HOUSE
Location Address3065 TOWN TERNorth Port, FL 34286-4363
Mailing Address1498 Pacific Ave Ste 400Tacoma, WA 98402-4208 · (855) 768-6363 · Fax (253) 682-1714
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 8, 2015
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1164815676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses Licensed in MI · 4704318096 Licensed in FL · ARNP9268237
3065 TOWN TER, North Port, FL 34286

Secondary Practice Locations 3

Location 11721 S Stephenson AveIron Mountain, MI 49801-3637 · Phone (906) 776-5639
Location 21 Atkinson DrLudington, MI 49431-1906 · Phone (231) 845-2297
Location 3400 Hobart StCadillac, MI 49601-2331 · Phone (231) 876-6009 · Fax (231) 876-6830

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

Kelsey House 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 ID7517273436
PECOS Enrollment IDI20150908001996
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
45 services22 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
27 services18 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34286 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

55.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality15.32
Promoting Interoperability100
Improvement Activities40
Cost18.68

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$21.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$109.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Geriatric Medicine)
3065 TOWN TER
NORTH PORT, FL 34286
Internal Medicine (Geriatric Medicine)
3065 TOWN TER
NORTH PORT, FL 34286

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 House's NPI number?

The NPI number for Kelsey House is 1164815676. It was assigned to this individual provider in the NPPES registry on March 8, 2015.

Where is Kelsey House located?

Kelsey House practices at 3065 Town Ter, North Port, FL 34286. The listed phone number is (239) 989-7375.

What is Kelsey House's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kelsey House enrolled in Medicare?

Yes. Kelsey House 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.

When was this NPI record last updated?

The NPPES record for Kelsey House was last updated on October 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.