KELSEY CHILDRESS M.D.
NPI 1902250772
Student in an Organized Health Care Education/Training Program in Sacramento, CA
About Kelsey Childress M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY CHILDRESS M.D. (NPI 1902250772) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey Childress M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SACRAMENTO, CA 95823
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 Childress's NPI number?
The NPI number for Kelsey Childress is 1902250772. It was assigned to this individual provider in the NPPES registry on April 19, 2016.
Where is Kelsey Childress located?
Kelsey Childress practices at 6600 Bruceville Rd, Sacramento, CA 95823. The listed phone number is (916) 688-6800.
What is Kelsey Childress'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 Childress enrolled in Medicare?
Yes. Kelsey Childress is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelsey Childress was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelsey Childress, M.D. · NPI 1902250772
Student in an Organized Health Care Education/Training Program provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since April 19, 2016.
## Identity
- **NPI:** 1902250772 (Entity type: Individual)
- **Enumerated:** April 19, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 6600 BRUCEVILLE RD, Sacramento, CA 95823-4671
- **Phone:** (916) 688-6800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1902250772) · Data from the CMS NPPES public registry.