KELLSA A. MBAH MD
NPI 1255188181
Student in an Organized Health Care Education/Training Program in Nashville, TN

Q: What is Kellsa Mbah's NPI number?

The NPI number for Kellsa Mbah is 1255188181. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Q: What is Kellsa Mbah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kellsa Mbah was last updated on April 30, 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.

Active since April 30, 2024PECOS Enrolled

2215 GARLAND AVE STE 203, NASHVILLE, TN 37232(615) 322-6035 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kellsa A. Mbah Md NPPES

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

KELLSA A. MBAH MD (NPI 1255188181) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255188181

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELLSA A. MBAHCredential: MD

Location Address2215 GARLAND AVE STE 203Nashville, TN 37232-0019

Mailing Address2215 Garland Ave Ste 203Nashville, TN 37232-0019

Phone(615) 322-6035

Sole ProprietorNo

Enumeration DateApril 30, 2024

NPPES CertifiedApril 30, 2024

✔ NPI 1255188181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2215 GARLAND AVE STE 203, Nashville, TN 37232

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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 (PECOS)

Kellsa A. Mbah Md 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.

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Other Providers at the Same Location NPPES 18

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

BRIAN FELLENSTEIN MD

Student in an Organized Health Care Education/Training Program