KELSEY R JANSEN (NPI# 1942645577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942645577 |
| Entity Type | Individual |
| Full Name | KELSEY R JANSEN |
| Other Name | KELSEY R VONDERHEIDE |
| Credential | PA-C |
| Practice Address |
1900 Saint Charles St Jasper IN 47546-9145 |
| Practice Telephone | 8126341211 |
| Practice Fax Number | 8126349762 |
| Mailing Telephone | 8126341211 |
| Mailing Fax Number | 8126349762 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50003807 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0090771 | 05 |
| Street Address |
1900 SAINT CHARLES ST |
| City | JASPER |
| State | IN |
| Zip Code | 47546-9145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640033 | William S Walker | Nurse Practitioner | 1900 Saint Charles St, Jasper, IN 47546-9145 | 2005-09-20 |
| 1912410002 | Sara Nicole Gress | Physical Therapist | 1900 Saint Charles St, Jasper, IN 47546-9145 | 2017-11-10 |
| 1235440660 | Holly Suzanne Brake | Occupational Therapist | 1900 Saint Charles St, Jasper, IN 47546-9145 | 2010-06-30 |
| 1083842348 | Melanie Kay Lindauer | Occupational Therapy Assistant | 1900 Saint Charles St, Jasper, IN 47546-9145 | 2009-06-25 |
| 1275746851 | Back Pain Institute of Southern In | Physical Therapist | 1900 Saint Charles St, Jasper, IN 47546-9145 | 2007-05-08 |
| 1023148327 | Brian Lee Stoll | Physical Therapy Assistant | 1900 Saint Charles St, Jasper, IN 47546-9145 | 2007-03-06 |
| 1952486862 | Saint Charles Surgical Pavilion Inc | Nurse Anesthetist, Certified Registered | 1900 Saint Charles St, Jasper, IN 47546-9145 | 2006-10-26 |
| 1295810109 | Saint Charles Surgical Pavilion Inc | Anesthesiology | 1900 Saint Charles St, Jasper, IN 47546-9145 | 2006-10-26 |
| 1447211321 | Randall Gene Norris | Orthopaedic Surgery | 1900 Saint Charles St, Jasper, IN 47546 | 2006-03-30 |
| 1528029402 | Blaine Brock Steimel | Physical Therapist | 1900 Saint Charles St, Jasper, IN 47546-9145 | 2006-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651480 | Allen Dean Veren | Physician Assistant | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
| 1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
| 1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.