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DR. KELSEY IDINA HONSHIDELER MD
NPI 1811459837
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 01, 2019PECOS Enrolled
820 HARRISON AVE., FGH BUILDING, 4TH FLOOR, BOSTON, MA 02118(617) 638-6604 Get Directions Write a Review

NPPES record last updated: April 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2024, Apr 1, 2019 (2 updates tracked since 2019).

About Dr. Kelsey Idina Honshideler Md NPPES

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

DR. KELSEY IDINA HONSHIDELER MD (NPI 1811459837) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (289565) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811459837
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KELSEY IDINA HONSHIDELERCredential: MD
Location Address820 HARRISON AVE., FGH BUILDING, 4TH FLOORBoston, MA 02118
Mailing Address820 Harrison Ave., Fgh Building, 4th FloorBoston, MA 02118
Phone(617) 638-6604
Sole ProprietorNo
Enumeration DateApril 1, 2019
Last NPPES UpdateApril 14, 20242 updates tracked since enumeration
NPPES CertifiedApril 14, 2024
✔ NPI 1811459837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 289565
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSurgeryTaxonomy 208600000X · License ML60962155 (WA)
820 HARRISON AVE., Boston, MA 02118
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Kelsey Idina Shideler Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelsey Idina Honshideler Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Honshideler's NPI number?

The NPI number for Kelsey Honshideler is 1811459837. It was assigned to this individual provider in the NPPES registry on April 1, 2019. The provider is also known as Dr. Kelsey Idina Shideler MD.

Where is Kelsey Honshideler located?

Kelsey Honshideler practices at 820 Harrison Ave. Fgh Building, 4th Floor, Boston, MA 02118. The listed phone number is (617) 638-6604.

What is Kelsey Honshideler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelsey Honshideler enrolled in Medicare?

Yes. Kelsey Honshideler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Honshideler was last updated on April 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.