Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELSEY JB SOPPET
NPI 1396374484
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Q: What is Kelsey Soppet's NPI number?

The NPI number for Kelsey Soppet is 1396374484. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Kelsey Soppet'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 Kelsey Soppet was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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 02, 2020PECOS Enrolled

MSC10 5590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-2345(505) 272-2374 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Jun 20, 2024, Jun 25, 2023 and 1 more (4 updates tracked since 2020).

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About Kelsey Jb Soppet NPPES

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

KELSEY JB SOPPET (NPI 1396374484) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (DO2023-1021) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396374484

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELSEY JB SOPPET

Location AddressMSC10 5590 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001

Mailing AddressMsc10 5590 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-2345 · Fax (505) 272-2374

Phone(505) 272-2345

Fax(505) 272-2374

Sole ProprietorYes

Enumeration DateApril 2, 2020

Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1396374484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code390200000X

License✔ Licensed in NM · DO2023-1021

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.

Also ListedPediatricsTaxonomy 208000000X · License DO230745 (OR), DO2023-1021 (NM)

MSC10 5590 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

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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)

Kelsey Jb Soppet 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.

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.

PAULINA VICTORIA MAJEWSKA MD

Student in an Organized Health Care Education/Training Program