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KELSEY CHILDRESS M.D.
NPI 1902250772
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since April 19, 2016PECOS Enrolled
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823(916) 688-6800 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2021, Jun 10, 2019 (2 updates tracked since 2019).

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 and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1902250772
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELSEY CHILDRESSCredential: M.D.
Location Address6600 BRUCEVILLE RDSacramento, CA 95823-4671
Mailing Address6600 Bruceville RdSacramento, CA 95823-4671 · (916) 688-6800
Phone(916) 688-6800
Sole ProprietorNo
Enumeration DateApril 19, 2016
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
✔ NPI 1902250772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.

6600 BRUCEVILLE RD, Sacramento, CA 95823
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Secondary Practice Location 1

Location 16600 Bruceville RdSacramento, CA 95823-4671 · Phone (916) 688-6800

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).

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.

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.

MARSHA L HARTBERG RNP
Nurse Practitioner (Obstetrics & Gynecology)
6600 BRUCEVILLE RD, STATION A OB/GYN CLINIC
SACRAMENTO, CA 95823
Sacramento County (916) 688-2276
MS. KAREN KAY HOUSE RNP
Nurse Practitioner (Obstetrics & Gynecology)
6600 BRUCEVILLE RD, KAISER PERMANENTE OB/GYN
SACRAMENTO, CA 95823
Sacramento County (916) 688-6358
MELISSA E. GARDNER RNP
Nurse Practitioner (Obstetrics & Gynecology)
6600 BRUCEVILLE RD, OBGYN STATION A
SACRAMENTO, CA 95823
Sacramento County (916) 688-2282
CATHERINE BASKIN NP
Nurse Practitioner (Obstetrics & Gynecology)
6600 BRUCEVILLE RD, KAISER PERMANENTE, DEPT. OF OB/GYN
SACRAMENTO, CA 95823
Sacramento County (916) 688-6026
DR. DANA MILLER-BLAIR M.D.
Internal Medicine (Rheumatology)
6600 BRUCEVILLE RD, SUITE D
SACRAMENTO, CA 95823
Sacramento County (916) 688-2330
DR. MICHAEL T. SIM M.D.
Internal Medicine (Nephrology)
6600 BRUCEVILLE RD, MOB 3, 3RD FLOOR
SACRAMENTO, CA 95823
Sacramento County (916) 688-6988
MS. ELAINE DAMO OTR
Occupational Therapist
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823
Sacramento County (916) 688-6644
DR. SARAH JEAN PREISS-FARZANEGAN M.D.
Physical Medicine & Rehabilitation (Sports Medicine)
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823
Sacramento County (916) 688-2000

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 with the weekly NPPES data releases published by CMS.