KELSEY KINGSBOROUGH (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1851942619

KELSEY KINGSBOROUGH (APRN) is a healthcare provider. based in Mexico, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 2019037091 (MO). The NPI Number for KELSEY KINGSBOROUGH (APRN) is 1851942619

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY KINGSBOROUGH (APRN)
NPI
1851942619
Phone
(573) 582-1234
Address
340 KELLEY PKWY
Enumeration Date
24 September 2019
Last Update Date
29 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6366954554
Graduation Year
2019 (7 years ago)
PAC ID
6709219546
Group Practice PAC ID
8628025715
Professional Enrollment ID
I20210412001944
Address ID
IL620026722AL1XXXXDRXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for KELSEY KINGSBOROUGH (APRN)

  • Kelley Parkway, Mexico, Audrain County, Missouri, 65265, United States

    MEXICO, MO 652653811

    Phone: (573) 582-1234

    Type: Location

  • 9979 Winghaven Blvd Ste 204

    O Fallon, MO 633683628

    Phone: (636) 695-4554

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 549 Open Payments records for all available years, with a total value of $10,064.

Total Amount is formed as General ($10,064) + Research ($0) + Ownership ($0) = $10,064.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,970).

Total Amount

$10,064

General + Research + Ownership

Payments

549

Total payment records

General Amount

$10,064

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191209001053INurse PractitionerMOTBD
I20210412001944INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes18871$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 65265)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628025715View full group profile
NameSpecialtyState
Nurse PractitionerMO
P S Y C H I A T R YMO

Reviews

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Frequently asked questions

What federal number belongs to KELSEY KINGSBOROUGH (APRN)?
The federal identifier for KELSEY KINGSBOROUGH (APRN) is NPI 1851942619.
Is KELSEY KINGSBOROUGH (APRN) active in the national directory?
KELSEY KINGSBOROUGH (APRN)'s public NPI profile is in an active state.
What field does KELSEY KINGSBOROUGH (APRN) work in?
You can think of KELSEY KINGSBOROUGH (APRN) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELSEY KINGSBOROUGH (APRN)?
The page summarizes Mexico, Missouri for KELSEY KINGSBOROUGH (APRN); expand the address list for detail.
Is KELSEY KINGSBOROUGH (APRN) a real provider?
This page reflects official NPPES data for NPI 1851942619. Always confirm identity and privileges with the practice and licensing boards.

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