KELSEY ELIZA ALLEN (D.O.) – Family Medicine Physician, NPI 1619397221

KELSEY ELIZA ALLEN (D.O.) is a healthcare provider. based in Enterprise, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 9498523-1204 (UT). The NPI Number for KELSEY ELIZA ALLEN (D.O.) is 1619397221

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY ELIZA ALLEN (D.O.)
NPI
1619397221
Phone
(541) 426-7900
Address
601 MEDICAL PKWY
Enumeration Date
22 April 2014
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
4356768842
Graduation Year
2014 (12 years ago)
PAC ID
8123337227
Group Practice PAC ID
6305744459
Professional Enrollment ID
I20181026001018
Address ID
UT847590389PA200XX400X301

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness95
Years active:12State licenses:1Other names

2,083 FAMILY PRACTICE in OR

Provider Addresses for KELSEY ELIZA ALLEN (D.O.)

  • 601 MEDICAL PKWY

    ENTERPRISE, OR 978285124

    Phone: (541) 426-7900

    Type: Mailing

  • 603 MEDICAL PKWY

    ENTERPRISE, OR 978285124

    Phone: (541) 426-7900

    Fax: (541) 426-7901

    Type: Location

  • PO BOX 389

    PANGUITCH, UT 847590389

    Phone: (435) 676-8842

    Type: Mailing

  • 200 N 400 E

    PANGUITCH, UT 847597803

    Phone: (435) 676-8842

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-04-01 • Largest payer in this snapshot: Dexcom, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$125
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: 2018-10-26

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
I20151105001923IFamily PracticeUTTBD
I20181026001018IFamily PracticeORTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2914$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2517$0
99239Hospital discharge day management, more than 30 minutes2424$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 97828)

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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: 6305744459View full group profile
NameSpecialtyState
Family PracticeUT
Family PracticeUT
Family PracticeUT
Nurse PractitionerUT
Physician AssistantUT
Family PracticeUT
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)UT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What is KELSEY ELIZA ALLEN (D.O.)'s NPI number?
KELSEY ELIZA ALLEN (D.O.)'s NPI is 1619397221 — the number used across U.S. healthcare to identify this provider.
Is KELSEY ELIZA ALLEN (D.O.) shown as active in public data?
Registry records indicate KELSEY ELIZA ALLEN (D.O.) maintains an active NPI.
What kind of doctor is KELSEY ELIZA ALLEN (D.O.)?
KELSEY ELIZA ALLEN (D.O.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is KELSEY ELIZA ALLEN (D.O.) associated with Enterprise?
Public fields place KELSEY ELIZA ALLEN (D.O.) around Enterprise, Oregon. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KELSEY ELIZA ALLEN (D.O.) is noted as April 22, 2014 where the registry provides it.

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