KELSEY FABIAN NP
NPI 1689483265
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since January 07, 2025PECOS EnrolledAccepts Medicare Assignment
111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-6000 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelsey Fabian Np NPPES

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

KELSEY FABIAN NP (NPI 1689483265) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP030882) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689483265
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELSEY FABIANCredential: NP
Location Address111 S 11TH STPhiladelphia, PA 19107-4870
Mailing Address4649 Umbria St Apt 101Philadelphia, PA 19127-1936
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1689483265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP030882
111 S 11TH ST, Philadelphia, PA 19107

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

Kelsey Fabian Np 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 ID1355865528
PECOS Enrollment IDI20250409001142
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 Reassignments

2

Medicare enrollment records show Kelsey Fabian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
Physical Medicine & Rehabilitation
1513 RACE ST
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 600 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.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

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 Fabian's NPI number?

The NPI number for Kelsey Fabian is 1689483265. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Kelsey Fabian located?

Kelsey Fabian practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.

What is Kelsey Fabian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kelsey Fabian enrolled in Medicare?

Yes. Kelsey Fabian 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 Fabian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Fabian reassigns Medicare benefits to 2 organizations: Jefferson University Physicians (Philadelphia, PA) and Methodist Associates In Healthcare, Inc (Philadelphia, PA). 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 Fabian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelsey Fabian affiliated with any hospitals?

According to CMS data, Kelsey Fabian is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Fabian was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.