MISS KAYLA MARIE KELSEN PMHNP-BC
NPI 1679434773
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Kayla Kelsen's NPI number?

The NPI number for Kayla Kelsen is 1679434773. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Q: What is Kayla Kelsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kayla Kelsen was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 19, 2025PECOS Enrolled

11022 S 51ST ST STE 250, PHOENIX, AZ 85044(480) 939-6137(602) 429-8445 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2026, Nov 19, 2025 (2 updates tracked since 2025).

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About Miss Kayla Marie Kelsen Pmhnp-bc NPPES

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

MISS KAYLA MARIE KELSEN PMHNP-BC (NPI 1679434773) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (259277) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1679434773

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMISS KAYLA MARIE KELSENCredential: PMHNP-BC

Location Address11022 S 51ST ST STE 250Phoenix, AZ 85044-4319

Mailing Address3440 E Southern Ave Unit 1203Mesa, AZ 85204-5665

Phone(480) 939-6137

Fax(602) 429-8445

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateNovember 19, 2025

Last NPPES UpdateJune 15, 20262 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1679434773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 259277

11022 S 51ST ST STE 250, Phoenix, AZ 85044

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Kayla Marie Kelsen Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416413984

PECOS Enrollment IDI20260727000964

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 Kayla Kelsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Mountain Family Psychiatry, LLC

Same address

Psychiatric/Mental Health

11022 S 51ST ST STE 250
Phoenix, AZ 85044

Reassigned Medicare billing, Arizona enrollment
6 clinicians in this Medicare group

NPI 1336788868 (480) 939-6137

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85044 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

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 9

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

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