Kelsey Lauren Ennis, CNM, WHNP-BC - Medicare Nurse Practitioner in Santa Monica, CA

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Kelsey Lauren Ennis, CNM, WHNP-BC is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Santa Monica, California. Her current practice location is 1417 2nd St Ste D, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (646) 650-5337.

Kelsey Lauren Ennis is licensed to practice in Virginia (license number 0024180210) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033724372.

Contact Information

Kelsey Lauren Ennis, CNM, WHNP-BC
1417 2nd St Ste D,
Santa Monica, CA 90401-2399
(646) 650-5337
(646) 871-6820

Map and Direction




Provider's Profile

Full NameKelsey Lauren Ennis
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location1417 2nd St Ste D, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033724372
  • Provider Enumeration Date: 09/14/2020
  • Last Update Date: 03/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517379159
  • Enrollment ID: I20201223001863

Medical Identifiers

Medical identifiers for Kelsey Lauren Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033724372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R0133249 (Oklahoma)Secondary
367A00000XAdvanced Practice Midwife (* (Not Available))Secondary
363LX0001XNurse Practitioner - Obstetrics & Gynecology 0024180210 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsey Lauren Ennis allows following entities to bill medicare on her behalf.
Entity NameWomens Health Services Of Central Virginia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053417196
PECOS PAC ID: 6901907120
Enrollment ID: O20070718000383
Entity NameThe Physician And Midwife Collaborative Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386829794
PECOS PAC ID: 0648166405
Enrollment ID: O20201204001724

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Lauren Ennis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelsey Lauren Ennis, CNM, WHNP-BC
1417 2nd St Ste D,
Santa Monica, CA 90401-2399

Ph: (918) 857-8740		Kelsey Lauren Ennis, CNM, WHNP-BC
1417 2nd St Ste D,
Santa Monica, CA 90401-2399

Ph: (646) 650-5337

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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