KELSEY MARIE BROWN NP NPI 1700575867

NPI Information

  • NPI: 1700575867
  • Provider Name: KELSEY MARIE BROWN, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3512 STELLHORN RD
    FORT WAYNE, IN
    ZIP 46815
  • Phone: (260) 483-9081

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NPI Details

Kelsey Marie Brown, NP is a gerontology nurse practitioner in Fort Wayne, IN with 4 years of experience. Kelsey Marie Brown, NP NPI is 1700575867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3512 STELLHORN RD
FORT WAYNE, IN
ZIP 46815-631
Phone: (260) 483-9081

The NPI 1700575867 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2023 and was last updated on 2/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health71013875AINDIANANo
2363LG0600XNurse PractitionerGerontology71013875AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
171013875AOTHERINDIANALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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