KELSEA RENEA FENDER FNP
NPI 1275207771
Nurse Practitioner in Douglas, GA
About Kelsea Renea Fender Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEA RENEA FENDER FNP (NPI 1275207771) is an individual nurse practitioner in Douglas, Georgia, licensed in Georgia (RN248091) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Dorminy Medical Center, and maintains a secondary practice location in Rome.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Kelsea Renea Fender Fnp 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
3Medicare enrollment records show Kelsea Fender reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Douglas, GA 31533
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Fitzgerald, GA 31750
- Reassigned Medicare billing, Georgia enrollment
- 21 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 92 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Dorminy Medical Center
Acute Care Hospitals · Fitzgerald, GACoffee Regional Medical Center, Inc
Acute Care Hospitals · Douglas, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31533 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kelsea Fender's NPI number?
The NPI number for Kelsea Fender is 1275207771. It was assigned to this individual provider in the NPPES registry on August 6, 2021.
Where is Kelsea Fender located?
Kelsea Fender practices at 906 Bryan St W, Douglas, GA 31533. The listed phone number is (912) 383-9300.
What is Kelsea Fender's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelsea Fender enrolled in Medicare?
Yes. Kelsea Fender 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 Kelsea Fender's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsea Fender reassigns Medicare benefits to 3 organizations: Hazlehurst Family Clinic LLC (Douglas, GA), Dmc Physician Group LLC (Fitzgerald, GA) and Lifesource Of North Carolina (Rome, GA). 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 Kelsea Fender's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsea Fender accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelsea Fender 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.
Is Kelsea Fender affiliated with any hospitals?
According to CMS data, Kelsea Fender is affiliated with Dorminy Medical Center and Coffee Regional Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Kelsea Fender was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Kelsea Renea Fender, FNP · NPI 1275207771
Nurse Practitioner physician in Douglas, Georgia. Individual provider, active in the CMS NPPES registry since August 6, 2021.
## Identity
- **NPI:** 1275207771 (Entity type: Individual)
- **Enumerated:** August 6, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN248091 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 906 BRYAN ST W, Douglas, GA 31533-2330
- **Phone:** (912) 383-9300
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Hazlehurst Family Clinic LLC (NPI 1578743985, Douglas, GA); Dmc Physician Group LLC (NPI 1124430020, Fitzgerald, GA); Lifesource Of North Carolina (NPI 1962940817, Rome, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 30, 2025
- **Other identifiers:** Other RN248091 (GA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1275207771) · Data from the CMS NPPES public registry.