KELSIE RAE O'DANIEL
NPI 1578444030
Nurse Practitioner - Family in Whitesburg, KY
About Kelsie Rae O'daniel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSIE RAE O'DANIEL (NPI 1578444030) is an individual family provider in Whitesburg, Kentucky, licensed in Kentucky (4048469) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsie Rae O'daniel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Whitesburg Arh Hospital
Acute Care Hospitals · Whitesburg, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41858 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITESBURG, KY 41858
WHITESBURG, KY 41858
WHITESBURG, KY 41858
WHITESBURG, KY 41858
WHITESBURG, KY 41858
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 Kelsie O'daniel's NPI number?
The NPI number for Kelsie O'daniel is 1578444030. It was assigned to this individual provider in the NPPES registry on September 10, 2025. The provider is also known as Kelsie Rae Jacobs Fnp-C.
Where is Kelsie O'daniel located?
Kelsie O'daniel practices at 240 Hospital Rd, Whitesburg, KY 41858. The listed phone number is (256) 688-0523.
What is Kelsie O'daniel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelsie O'daniel enrolled in Medicare?
Yes. Kelsie O'daniel is registered in the Medicare PECOS enrollment system.
Is Kelsie O'daniel affiliated with any hospitals?
According to CMS data, Kelsie O'daniel is affiliated with Whitesburg Arh Hospital.
When was this NPI record last updated?
The NPPES record for Kelsie O'daniel was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kelsie Rae O'daniel · NPI 1578444030
Family physician in Whitesburg, Kentucky. Individual provider, active in the CMS NPPES registry since September 10, 2025.
## Identity
- **NPI:** 1578444030 (Entity type: Individual)
- **Enumerated:** September 10, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4048469 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 240 HOSPITAL RD, Whitesburg, KY 41858-7627
- **Phone:** (256) 688-0523
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578444030) · Data from the CMS NPPES public registry.