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KELSEY WYNNE
NPI 1386539534
Counselor - Professional in Granville, OH

Active since June 10, 2025PECOS Enrolled
550 CHAPEL DR, GRANVILLE, OH 43023(740) 587-6200(614) 366-9489 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 4, 2026, Jul 8, 2025, Jun 10, 2025 (3 updates tracked since 2025).

About Kelsey Wynne NPPES

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

KELSEY WYNNE (NPI 1386539534) is an individual professional provider in Granville, Ohio, licensed in Ohio (E.2001642) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386539534
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELSEY WYNNE
Location Address550 CHAPEL DRGranville, OH 43023-6504
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (740) 587-6200 · Fax (614) 366-9489
Phone(740) 587-6200
Fax(614) 366-9489
Sole ProprietorNo
Enumeration DateJune 10, 2025
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1386539534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2001642
550 CHAPEL DR, Granville, OH 43023
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Oscar Health Insurance, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Wynne 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Wynne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osu Psychiatry, LLC
27 mi
Clinical Child & Adolescent
1670 UPHAM DR, SUITE 140
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group
NPI 1194773317 (614) 293-9600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

DIOSWAL COOK LPCC
Counselor (Professional)
550 CHAPEL DR
GRANVILLE, OH 43023
Licking County (740) 587-6200
MR. CHRISTOPHER MICHAEL ELEY LISW
Social Worker (Clinical)
550 CHAPEL DR
GRANVILLE, OH 43023
Licking County (740) 587-6200
SHEILA LAKSHMI JONES LISW
Social Worker (Clinical)
550 CHAPEL DR
GRANVILLE, OH 43023
Licking County (740) 587-6200
ELISABETH FRAZIER PHD
Psychologist
550 CHAPEL DR
GRANVILLE, OH 43023
Licking County (740) 587-6200
ZACHARY AARON KELM DO
Psychiatry & Neurology (Psychiatry)
550 CHAPEL DR
GRANVILLE, OH 43023
Licking County (740) 587-6200
MRS. MICHELLE RENEE BARCELONA APRN-CNP
Nurse Practitioner
550 CHAPEL DR
GRANVILLE, OH 43023
Licking County (740) 587-6200
CLAYTON L R SCHMIDT LPCC
Counselor (Professional)
550 CHAPEL DR
GRANVILLE, OH 43023
Licking County (740) 587-6200

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 Wynne's NPI number?

The NPI number for Kelsey Wynne is 1386539534. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Kelsey Wynne located?

Kelsey Wynne practices at 550 Chapel Dr, Granville, OH 43023. The listed phone number is (740) 587-6200.

What is Kelsey Wynne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelsey Wynne enrolled in Medicare?

Yes. Kelsey Wynne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Wynne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Wynne reassigns Medicare benefits to Osu Psychiatry, LLC (Columbus, OH). The 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 Kelsey Wynne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Wynne accept?

Health plans from Antidote Health Plan of Ohio, Inc., Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Kelsey Wynne 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 Kelsey Wynne was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.