CMS-1500 Box 24J / 33a • NPI
1184581951
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AM0700X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical
Box 32 Service Location & ZIP+4
1905 E HUEBBE PKWY, BELOIT, WI, 53511-1842
✓ 9-Digit EDI 837 ZIP+4 (53511-1842)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1184581951 (KELSEY LEE BEAUMONT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1184581951 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KELSEY LEE BEAUMONT |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: 363AM0700X (Physician Assistant, Medical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1905 E HUEBBE PKWY, BELOIT, WI, 53511-1842 |
| Practice Telephone / Fax | Tel: (608) 364-2200 |
| Administrative Mailing Address | 1969 W HART RD, BELOIT, WI, 53511-2298 |
| Enumeration & Last Sync | Enumerated: 2026-01-05 | CMS Record Updated: 2026-07-24 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363AM0700X)
What Does Taxonomy Code 363AM0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KELSEY LEE BEAUMONT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: WI | License: 8952-23 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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