MR. KELSEY BURNHAM PMHNP
NPI 1578993887
Nurse Practitioner - Psychiatric/Mental Health in Malone, NY
About Mr. Kelsey Burnham Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KELSEY BURNHAM PMHNP (NPI 1578993887) is an individual psychiatric/mental health provider in Malone, New York, licensed in New York (407495) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with The University Of Vermont Health Network-alice Hy, and maintains a secondary practice location in Malone.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mr. Kelsey Burnham Pmhnp 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 Kelsey Burnham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Malone, NY 12953
- Reassigned Medicare billing, New York enrollment
- 61 clinicians in this Medicare group
Tacoma, WA 98405
- Reassigned Medicare billing, Washington enrollment
- 87 clinicians in this Medicare group
Portland, OR 97214
- Reassigned Medicare billing, Oregon enrollment
- 60 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Of Vermont Health Network-Alice Hy
Critical Access Hospitals · Malone, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12953 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Patient Reviews User submitted 2
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by Regena ***** July 13, 2024
5/5Review by Emiily ***** July 12, 2024
5/5Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MALONE, NY 12953
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 Burnham's NPI number?
The NPI number for Kelsey Burnham is 1578993887. It was assigned to this individual provider in the NPPES registry on November 22, 2013.
Where is Kelsey Burnham located?
Kelsey Burnham practices at 31 6th St, Malone, NY 12953. The listed phone number is (518) 483-3261.
What is Kelsey Burnham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelsey Burnham enrolled in Medicare?
Yes. Kelsey Burnham 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 Kelsey Burnham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Burnham reassigns Medicare benefits to 3 organizations: Citizen Advocates, Inc (Malone, NY), Alliance For South Sound Health (Tacoma, WA) and Larsen Sanchez Psychology, LLC (Portland, OR). 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 Kelsey Burnham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelsey Burnham affiliated with any hospitals?
According to CMS data, Kelsey Burnham is affiliated with The University Of Vermont Health Network-Alice Hy.
When was this NPI record last updated?
The NPPES record for Kelsey Burnham was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Kelsey Burnham, PMHNP · NPI 1578993887
Psychiatric/Mental Health physician in Malone, New York. Individual provider, active in the CMS NPPES registry since November 22, 2013.
## Identity
- **NPI:** 1578993887 (Entity type: Individual)
- **Enumerated:** November 22, 2013
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 407495 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 31 6TH ST, Malone, NY 12953-1246
- **Phone:** (518) 483-3261 · **Fax:** (518) 483-3383
## 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): Citizen Advocates, Inc (NPI 1780619064, Malone, NY); Alliance For South Sound Health (NPI 1891298980, Tacoma, WA); Larsen Sanchez Psychology, LLC (NPI 1588041388, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 10, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1578993887) · Data from the CMS NPPES public registry.