KELSEY S IVUSICH AGACNP-BC
NPI 1912568148
Nurse Practitioner in Baltimore, MD
About Kelsey S Ivusich Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY S IVUSICH AGACNP-BC (NPI 1912568148) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R186021) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Medstar Union Memorial Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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 S Ivusich Agacnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelsey Ivusich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: University Of Maryland Physicians PA
- 614 clinicians in this Medicare group
Baltimore, MD 21239
- Reassigned Medicare billing, Maryland enrollment
- 2,602 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medstar Union Memorial Hospital
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Ivusich's NPI number?
The NPI number for Kelsey Ivusich is 1912568148. It was assigned to this individual provider in the NPPES registry on June 27, 2019.
Where is Kelsey Ivusich located?
Kelsey Ivusich practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-8141.
What is Kelsey Ivusich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelsey Ivusich enrolled in Medicare?
Yes. Kelsey Ivusich 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 organizations bill Medicare for Kelsey Ivusich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Ivusich reassigns Medicare benefits to 2 organizations: University Of Maryland Physicians, P.A. (Baltimore, MD) and Medstar Medical Group II LLC (Baltimore, MD). Each 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 Ivusich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelsey Ivusich affiliated with any hospitals?
According to CMS data, Kelsey Ivusich is affiliated with Medstar Union Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kelsey Ivusich was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 S Ivusich, AGACNP-BC · NPI 1912568148
Nurse Practitioner physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 27, 2019.
## Identity
- **NPI:** 1912568148 (Entity type: Individual)
- **Enumerated:** June 27, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R186021 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1590
- **Phone:** (410) 328-8141 · **Fax:** (410) 328-0177
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Maryland Physicians, P.A. (NPI 1104877075, Baltimore, MD); Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 26, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1912568148) · Data from the CMS NPPES public registry.