Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELSEY PAYNE MSN, APRN, FNP-BC
NPI 1902642457
Nurse Practitioner - Family in Evansville, IN

Active since July 03, 2024PECOS EnrolledAccepts Medicare Assignment
315 MULBERRY ST, EVANSVILLE, IN 47713(812) 421-7489 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2026, Aug 4, 2024, Jul 3, 2024 (3 updates tracked since 2024).

About Kelsey Payne Msn, Aprn, Fnp-bc NPPES

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

KELSEY PAYNE MSN, APRN, FNP-BC (NPI 1902642457) is an individual family provider in Evansville, Indiana, licensed in Indiana (71018592A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902642457
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY PAYNECredential: MSN, APRN, FNP-BC
Location Address315 MULBERRY STEvansville, IN 47713-1252
Mailing Address315 Mulberry StEvansville, IN 47713-1252 · (812) 421-7489
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 3, 2024
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1902642457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IN · 71018592A✔ Licensed in FL · APRN11034468
315 MULBERRY ST, Evansville, IN 47713

Accepted 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 Payne Msn, Aprn, Fnp-bc 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 ID1557893245
PECOS Enrollment IDI20260910003112
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 Reassignment

Medicare enrollment records show Kelsey Payne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
2309 W VICTORY BLVD
Burbank, CA 91506
  • Reassigned Medicare billing, Florida enrollment
  • 9 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47713 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 16

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

Nurse Practitioner
315 MULBERRY ST
EVANSVILLE, IN 47713
Clinic/Center (Federally Qualified Health Center (FQHC))
315 MULBERRY ST
EVANSVILLE, IN 47713
Social Worker
315 MULBERRY ST
EVANSVILLE, IN 47713
Dentist (General Practice)
315 MULBERRY ST
EVANSVILLE, IN 47713
Social Worker (Clinical)
315 MULBERRY ST
EVANSVILLE, IN 47713
Pharmacy
315 MULBERRY ST
EVANSVILLE, IN 47713
Nurse Practitioner (Family)
315 MULBERRY ST
EVANSVILLE, IN 47713
Nurse Practitioner (Family)
315 MULBERRY ST
EVANSVILLE, IN 47713

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 Payne's NPI number?

The NPI number for Kelsey Payne is 1902642457. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Kelsey Payne located?

Kelsey Payne practices at 315 Mulberry St, Evansville, IN 47713. The listed phone number is (812) 421-7489.

What is Kelsey Payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelsey Payne enrolled in Medicare?

Yes. Kelsey Payne 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 organization bills Medicare for Kelsey Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Payne reassigns Medicare benefits to West Coast Wound And Skin Care Inc (Burbank, CA). The 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 Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Payne accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelsey Payne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelsey Payne was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.