CMS-1500 Box 24J / 33a • NPI
1902671415
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP0808X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
Box 32 Service Location & ZIP+4
1250 SW VETERANS WAY STE 120, REDMOND, OR, 97756-2588
✓ 9-Digit EDI 837 ZIP+4 (97756-2588)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1902671415 (KELSEY SEXTON ANDERSON, RN; APRN; PMHNP) 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 | 1902671415 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KELSEY SEXTON ANDERSON, RN; APRN; PMHNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: 363LP0808X (Nurse Practitioner, Psych/Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1250 SW VETERANS WAY STE 120, REDMOND, OR, 97756-2588 |
| Practice Telephone / Fax | Tel: (541) 383-3005 | Fax: (541) 383-1883 |
| Administrative Mailing Address | PO BOX 4228, PORTLAND, OR, 97208-4228 |
| Enumeration & Last Sync | Enumerated: 2023-11-15 | CMS Record Updated: 2026-10-23 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP0808X)
What Does Taxonomy Code 363LP0808X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KELSEY SEXTON ANDERSON, RN; APRN; PMHNP)
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 |
|---|---|
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: CO | License: APN.1000566-NP | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: OR | License: 10055316 | Primary: Yes (Primary) |
163WC1600X — Registered Nurse, Continuing Education/Staff DevelopmentPlain English: Licensed & Credentialed Registered Nurse, Continuing Education/Staff Development | State: OR | License: 10055316 | Primary: Secondary |
163WC1600X — Registered Nurse, Continuing Education/Staff DevelopmentPlain English: Licensed & Credentialed Registered Nurse, Continuing Education/Staff Development | State: CO | License: 1679468 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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