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Kelsie Nicole Nelson

NPI 1134977796ActiveIndividual· Physician Assistant· Provo, UT

Physician Assistant with Multicare Health System, practicing in Provo, Utah. Enrolled in Medicare as practitioner - physician assistant. Lists Tacoma General Allenmore Hospital as a hospital affiliation.

Overview

NPI1134977796
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 8, 2024
Last updated in NPPESMay 27, 2026
Certified by providerMay 27, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA70044068WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (WA)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Provo

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