KELSEY RAY BASTIAN MD
NPI 1710546213
Psychiatry & Neurology - Psychiatry in Memphis, TN

Q: What is Kelsey Bastian's NPI number?

The NPI number for Kelsey Bastian is 1710546213. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Q: What is Kelsey Bastian's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Bastian was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 07, 2019PECOS EnrolledAccepts Medicare Assignment

920 MADISON AVE STE 200, MEMPHIS, TN 38103(901) 448-2400(901) 302-2420 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2025, Oct 5, 2023, Jul 21, 2023 and 1 more (4 updates tracked since 2019).

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About Kelsey Ray Bastian Md NPPES

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

KELSEY RAY BASTIAN MD (NPI 1710546213) is an individual psychiatry provider in Memphis, Tennessee, licensed in Tennessee (67761) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2019).

NPPES Registry Identity

NPI1710546213

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKELSEY RAY BASTIANCredential: MD

Location Address920 MADISON AVE STE 200Memphis, TN 38103-3434

Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809 · (901) 866-8864

Phone(901) 448-2400

Fax(901) 302-2420

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2019

Enumeration DateJune 7, 2019

Last NPPES UpdateMarch 26, 20254 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1710546213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TN · 67761

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

920 MADISON AVE STE 200, Memphis, TN 38103

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Secondary Practice Locations 4

Location 12100 Exeter RdGermantown, TN 38138-3966 · Phone (901) 757-1350

Location 28040 Wolf River Blvd Ste 103Germantown, TN 38138-1773 · Phone (901) 725-8606

Location 38040 Wolf River Blvd Ste 102Germantown, TN 38138-1773 · Phone (901) 227-7900

Location 48138 Country Village DrCordova, TN 38016-2029 · Phone (901) 227-7900

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 Health and more.Insurance ›

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 Ray Bastian 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 ID8921460247

PECOS Enrollment IDI20230817001787

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

Medicare enrollment records show Kelsey Bastian reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cocaine And Alcohol Awareness Program, Inc.

7.8 mi

Substance Abuse Rehabilitation Facility

4023 KNIGHT ARNOLD RD
Memphis, TN 38118

Reassigned Medicare billing, Tennessee enrollment
3 clinicians in this Medicare group

NPI 1235324245 (901) 367-7550

Tri State Community Health Center

7.8 mi

Federally Qualified Health Center (FQHC)

4041 KNIGHT ARNOLD RD, SUITE 100
Memphis, TN 38118

Reassigned Medicare billing, Tennessee enrollment
33 clinicians in this Medicare group

NPI 1285002634 (901) 360-0442

Ut Medical Group Inc

9.2 mi

Multi-Specialty

1068 CRESTHAVEN RD STE 300
Memphis, TN 38119

Reassigned Medicare billing, Tennessee enrollment
157 clinicians in this Medicare group

NPI 1780676650 (901) 866-8864

Baptist Memorial Medical Group Inc

16 mi

Internal Medicine

8970 WINCHESTER RD
Memphis, TN 38125

Reassigned Medicare billing, Tennessee enrollment
581 clinicians in this Medicare group

NPI 1306089206 (901) 227-4068

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

149 services63 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

76 services49 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

66 services66 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

15 services14 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 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

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 7

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

IVERSON CHARLES BELL JR. MD

Psychiatry & Neurology (Psychiatry)