KELSEY JANE STALLER APRN-FNP
NPI 1962391029
Nurse Practitioner - Family in Middletown, CT

Active since July 01, 2025
282 MAIN STREET EXT STE A3, MIDDLETOWN, CT 06457(860) 270-0506 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Jane Staller Aprn-fnp NPPES

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

KELSEY JANE STALLER APRN-FNP (NPI 1962391029) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (14995) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1962391029
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY JANE STALLERCredential: APRN-FNP
Location Address282 MAIN STREET EXT STE A3Middletown, CT 06457-4467
Mailing Address7 Michigan CirOakdale, CT 06370-1540 · (860) 941-9587
Sole ProprietorNo
Enumeration DateJuly 1, 2025
Last NPPES UpdateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
NPI 1962391029 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
License Licensed in CT · 14995
282 MAIN STREET EXT STE A3, Middletown, CT 06457

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Primary Care)
282 MAIN STREET EXT STE A3
MIDDLETOWN, CT 06457
Nurse Practitioner (Family)
282 MAIN STREET EXT STE A3
MIDDLETOWN, CT 06457
Clinic/Center (Primary Care)
282 MAIN STREET EXT STE A3
MIDDLETOWN, CT 06457
Nurse Practitioner
282 MAIN STREET EXT STE A3
MIDDLETOWN, CT 06457

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 Staller's NPI number?

The NPI number for Kelsey Staller is 1962391029. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Kelsey Staller located?

Kelsey Staller practices at 282 Main Street Ext Ste A3, Middletown, CT 06457. The listed phone number is (860) 270-0506.

What is Kelsey Staller's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelsey Staller was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.