KERN J KELSICK (NURSE PRACTITIONER) – Acute Care Nurse Practitioner, NPI 1972119006

KERN J KELSICK (NURSE PRACTITIONER) is a healthcare provider. based in Houston, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 1014398 (TX). The NPI Number for KERN J KELSICK (NURSE PRACTITIONER) is 1972119006

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KERN J KELSICK (NURSE PRACTITIONER)
NPI
1972119006
Phone
(832) 808-0788
Address
1315 ST JOSEPH PKWY STE 1005
Enumeration Date
23 September 2020
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2818880809
Graduation Year
2020 (6 years ago)
PAC ID
1658781638
Group Practice PAC ID
7517393408
Professional Enrollment ID
I20201103000397
Address ID
TX770188151HO1900XWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KERN J KELSICK (NURSE PRACTITIONER)

  • 1315 ST JOSEPH PKWY STE 1005

    HOUSTON, TX 770028231

    Phone: (832) 808-0788

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,529.

Total Amount is formed as General ($1,529) + Research ($0) + Ownership ($0) = $1,529.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Medtronic, Inc. ($1,274).

Total Amount

$1,529

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,529

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

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: 2020-11-03

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
I20201103000397INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77002)

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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: 7517393408View full group profile
NameSpecialtyState
Thoracic SurgeryTX
P O D I A T R YTX

Reviews

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Frequently asked questions

How do payers reference KERN J KELSICK (NURSE PRACTITIONER)?
For KERN J KELSICK (NURSE PRACTITIONER), use NPI 1972119006 as the unique 10-digit identifier.
Would KERN J KELSICK (NURSE PRACTITIONER) appear as active to a payer?
You can treat KERN J KELSICK (NURSE PRACTITIONER) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KERN J KELSICK (NURSE PRACTITIONER)'s focus?
For KERN J KELSICK (NURSE PRACTITIONER), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KERN J KELSICK (NURSE PRACTITIONER)?
Directory geography for KERN J KELSICK (NURSE PRACTITIONER) centers on Houston, Texas.
When was this NPI issued?
Enumeration for KERN J KELSICK (NURSE PRACTITIONER) is noted as September 23, 2020 where the registry provides it.

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