KELSEY BLUE NUSBAUM MD
NPI 1912642851
Dermatology in Columbus, OH

Active since May 04, 2022PECOS Enrolled
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8000 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 29, 2026, May 4, 2022 (2 updates tracked since 2022).

About Kelsey Blue Nusbaum Md NPPES

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

KELSEY BLUE NUSBAUM MD (NPI 1912642851) is an individual dermatology provider in Columbus, Ohio, licensed in Michigan (4301517943) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Cincinnati College Of Medicine And Surgery (2022).

NPPES Registry Identity

NPI1912642851
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKELSEY BLUE NUSBAUMCredential: MD
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing AddressThe Ohio State University Wexner Medical Center, 395 W 12th Avenue, Third FloorColumbus, OH 43210 · (614) 293-3989 · Fax (614) 293-9789
Sole ProprietorNo
Medical School CMSCincinnati College Of Medicine And SurgeryGraduated 2022
Enumeration DateMay 4, 2022
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1912642851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301517943
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
410 W 10TH AVE, Columbus, OH 43210

Other Names 1

Former Name (1)Kelsey Blue Keyser

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 Blue Nusbaum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830577337
PECOS Enrollment IDI20260805004611
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 20

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

Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210

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 Nusbaum's NPI number?

The NPI number for Kelsey Nusbaum is 1912642851. It was assigned to this individual provider in the NPPES registry on May 4, 2022. The provider is also known as Kelsey Blue Keyser.

Where is Kelsey Nusbaum located?

Kelsey Nusbaum practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8000.

What is Kelsey Nusbaum's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kelsey Nusbaum enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelsey Nusbaum was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.