KELSEY ELYCE KOCH MD
NPI 1619327848
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jackson, MS

Q: What is Kelsey Koch's NPI number?

The NPI number for Kelsey Koch is 1619327848. It was assigned to this individual provider in the NPPES registry on June 19, 2016.

Q: What is Kelsey Koch's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Koch was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 19, 2016PECOS EnrolledAccepts Medicare Assignment

971 LAKELAND DR STE 220, JACKSON, MS 39216(601) 200-2780(601) 200-2788 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 6, 2026, Nov 15, 2025, Sep 15, 2025 and 2 more (5 updates tracked since 2016).

On this page

About Kelsey Elyce Koch Md NPPES

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

KELSEY ELYCE KOCH MD (NPI 1619327848) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Jackson, Mississippi, licensed in Mississippi (35449) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619327848

Entity TypeIndividualFemale

Primary Taxonomy208G00000X

Provider Legal NameKELSEY ELYCE KOCHCredential: MD

Location Address971 LAKELAND DR STE 220Jackson, MS 39216-4643

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-1331

Phone(601) 200-2780

Fax(601) 200-2788

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 2016

Enumeration DateJune 19, 2016

Last NPPES UpdateJune 6, 20265 updates tracked since enumeration

NPPES CertifiedJune 6, 2026

✔ NPI 1619327848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in MS · 35449

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License R-10660 (IA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

971 LAKELAND DR STE 220, Jackson, MS 39216

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11225 N State STJackson, MS 39202-2064 · Phone (601) 968-5003 · Fax (601) 974-6245

Location 22500 N State StJackson, MS 39216-4500 · Phone (601) 984-5170

Location 3501 Marshall St Ste 104Jackson, MS 39202-1663 · Phone (601) 969-6404 · Fax (601) 973-4541

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Elyce Koch Md 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.

PECOS PAC ID1052603743

PECOS Enrollment IDI20250912003316

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number250048

Location969 Lakeland DrJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$159.18 typical visit price

range $51.65 – $159.18

Typical copayment $39.79 (range $12.91 – $39.79)

Most-billed visit code 99205

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

PIERRE EDOUARD DE DELVA MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

971 LAKELAND DR STE 220
JACKSON, MS 39216

Hinds County (601) 200-2780

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 Koch's NPI number?

The NPI number for Kelsey Koch is 1619327848. It was assigned to this individual provider in the NPPES registry on June 19, 2016.

Where is Kelsey Koch located?

Kelsey Koch practices at 971 Lakeland Dr Ste 220, Jackson, MS 39216. The listed phone number is (601) 200-2780.

What is Kelsey Koch's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Kelsey Koch enrolled in Medicare?

Yes. Kelsey Koch 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.

What insurance does Kelsey Koch accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Kelsey Koch 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 Kelsey Koch affiliated with any hospitals?

According to CMS data, Kelsey Koch is affiliated with University Of Mississippi Med Center and St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Koch was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.