KELSEY LYNN BAXA (NP) – Nurse Practitioner, NPI 1063953453

KELSEY LYNN BAXA (NP) is a healthcare provider. based in Papillion, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 112192 (NE). The NPI Number for KELSEY LYNN BAXA (NP) is 1063953453

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY LYNN BAXA (NP)
NPI
1063953453
Phone
(402) 593-3141
Address
611 FENWICK DR
Enumeration Date
17 March 2017
Last Update Date
22 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028262102
Graduation Year
2016 (10 years ago)
PAC ID
8628354362
Group Practice PAC ID
4385556216
Professional Enrollment ID
I20170413000441
Address ID
NE683333084CR2910XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

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Provider Addresses for KELSEY LYNN BAXA (NP)

  • 611, Fenwick Drive, Papillion, Sarpy County, Nebraska, 68046, United States

    PAPILLION, NE 680465706

    Phone: (402) 593-3141

    Fax: (402) 593-3145

    Type: Mailing

  • South 70th Street, Lincoln, Lancaster County, Nebraska, 68516, United States

    LINCOLN, NE 68506

    Phone: (402) 464-9000

    Fax: (402) 464-4447

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $993.

Total Amount is formed as General ($993) + Research ($0) + Ownership ($0) = $993.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: Amgen Inc. ($222).

Total Amount

$993

General + Research + Ownership

Payments

52

Total payment records

General Amount

$993

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

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: 2017-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20170413000441INurse PractitionerNETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6041$0
99213Established patient office or other outpatient visit, 20-29 minutes5347$0
81002Urinalysis, manual test1612$0
View full utilization report →

Insurance plans in this area (ZIP 68046)

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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: 4385556216View full group profile
NameSpecialtyState
Nurse PractitionerNE
Nurse PractitionerNE
Physician AssistantNE
Physician AssistantNE
-NE
U R O L O G YNE
Nurse PractitionerNE
Family PracticeNE
Family PracticeNE
Physician AssistantNE

Reviews

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Frequently asked questions

What unique ID ties claims to KELSEY LYNN BAXA (NP)?
NPI 1063953453 is assigned to KELSEY LYNN BAXA (NP) under the national enumeration system.
Is KELSEY LYNN BAXA (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KELSEY LYNN BAXA (NP) work in?
You can think of KELSEY LYNN BAXA (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KELSEY LYNN BAXA (NP)'s primary listing?
We display Papillion, Nebraska because that is what the record indicates for KELSEY LYNN BAXA (NP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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