KELSIE RAE CHISOLM
NPI 1982389052
Nurse Practitioner in Meridian, MS

Q: What is Kelsie Chisolm's NPI number?

The NPI number for Kelsie Chisolm is 1982389052. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Q: What is Kelsie Chisolm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsie Chisolm was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment

2124 14TH ST, MERIDIAN, MS 39301(601) 553-6000 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2025, Jul 14, 2023, Jun 16, 2023 (3 updates tracked since 2023).

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About Kelsie Rae Chisolm NPPES

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

KELSIE RAE CHISOLM (NPI 1982389052) is an individual nurse practitioner in Meridian, Mississippi, licensed in Mississippi (906102) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Ochsner Rush Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1982389052

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELSIE RAE CHISOLM

Location Address2124 14TH STMeridian, MS 39301-4040

Mailing Address15043 Highway 503Decatur, MS 39327-9680 · (601) 479-5890

Phone(601) 553-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 16, 2023

Last NPPES UpdateMay 22, 20253 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1982389052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · 906102

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 897243 (MS)

2124 14TH ST, Meridian, MS 39301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsie Rae Chisolm 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 ID6002270824

PECOS Enrollment IDI20230913000673

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Rush Hospital

Acute Care Hospitals · Meridian, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250069

Location1314 19th AveMeridian, MS 39301 · Lauderdale County

Emergency services Birthing friendly

Ochsner Laird Hospital

Critical Access Hospitals · Union, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number251322

Location25117 Highway 15Union, MS 39365 · Neshoba County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39301 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 20

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

JESSICA GRAHAM RNFA

Registered Nurse (Registered Nurse First Assistant)