JENNA BORDELON KELSEY MD
NPI 1215383740
Dermatology in Farmington, CT
About Jenna Bordelon Kelsey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA BORDELON KELSEY MD (NPI 1215383740) is an individual dermatology provider in Farmington, Connecticut, licensed in Connecticut (074264) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jenna Bordelon Kelsey Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jenna Bordelon Kelsey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, CT 06030
- Reassigned Medicare billing, Connecticut enrollment
- 788 clinicians in this Medicare group
Melbourne, FL 32940
- Reassigned Medicare billing, Florida enrollment
- 2 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Jenna Bordelon Kelsey's NPI number?
The NPI number for Jenna Bordelon Kelsey is 1215383740. It was assigned to this individual provider in the NPPES registry on May 13, 2016.
Where is Jenna Bordelon Kelsey located?
Jenna Bordelon Kelsey practices at 21 South Rd, Farmington, CT 06032. The listed phone number is (860) 679-4600.
What is Jenna Bordelon Kelsey's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Jenna Bordelon Kelsey enrolled in Medicare?
Yes. Jenna Bordelon Kelsey 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.
Which organizations bill Medicare for Jenna Bordelon Kelsey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Bordelon Kelsey reassigns Medicare benefits to 2 organizations: University Of Connecticut Health Center (Farmington, CT) and Bw Dermatology PLLC (Melbourne, FL). 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 Jenna Bordelon Kelsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jenna Bordelon Kelsey accept?
Health plans from Anthem Blue Cross and Blue Shield and Health First Commercial Plans, Inc. list Jenna Bordelon Kelsey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jenna Bordelon Kelsey was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jenna Bordelon Kelsey, MD · NPI 1215383740
Dermatology physician in Farmington, Connecticut. Individual provider, active in the CMS NPPES registry since May 13, 2016.
## Identity
- **NPI:** 1215383740 (Entity type: Individual)
- **Enumerated:** May 13, 2016
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 074264 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 21 SOUTH RD, Farmington, CT 06032-2482
- **Phone:** (860) 679-4600 · **Fax:** (860) 679-3207
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Connecticut Health Center (NPI 1720083769, Farmington, CT); Bw Dermatology PLLC (NPI 1831026004, Melbourne, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Miami, Lm Miller School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** July 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215383740) · Data from the CMS NPPES public registry.