Kelsey Campbell Fortin, NP - Medicare Nurse Practitioner in Waynesboro, VA

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Kelsey Campbell Fortin, NP is a medicare enrolled "Nurse Practitioner - Family" in Waynesboro, Virginia. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eventus Premier Healthcare Llc, Pai Participant 1 Llc and her current practice location is 428 S Magnolia Ave, Waynesboro, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 949-8241.

Kelsey Campbell Fortin is licensed to practice in Virginia (license number 0024177936) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205485539.

Contact Information

Kelsey Campbell Fortin, NP
428 S Magnolia Ave,
Waynesboro, VA 22980-3629
(540) 949-8241
(540) 949-5582

Map and Direction




Provider's Profile

Full NameKelsey Campbell Fortin
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location428 S Magnolia Ave, Waynesboro, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey Campbell Fortin graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1205485539
  • Provider Enumeration Date: 09/09/2019
  • Last Update Date: 07/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921433715
  • Enrollment ID: I20200124002268

Medical Identifiers

Medical identifiers for Kelsey Campbell Fortin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205485539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024177936 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareStaunton, VAHome health agency
Legacy HospiceCharlottesville, VAHospice
Augusta Health Hospice Of The ShenandoahFishersville, VAHospice
Augusta HealthFishersville, VAHospital
Sentara Rmh Medical CenterHarrisonburg, VAHospital
Bridgewater Home , Inc.Bridgewater, VANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eventus Premier Healthcare Llc630538101393
Pai Participant 1 Llc8123351954139

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 Campbell Fortin allows following entities to bill medicare on her behalf.
Entity NamePai Participant 1 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093371312
PECOS PAC ID: 8123351954
Enrollment ID: O20211208001934
Entity NameEventus Premier Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437998309
PECOS PAC ID: 6305381013
Enrollment ID: O20240717001731
Entity NameEventus Wh Mid-atlantic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700627130
PECOS PAC ID: 7618414111
Enrollment ID: O20240801002915

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 Campbell Fortin 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 Campbell Fortin, NP
170 Kel Kat Farm Ln,
Staunton, VA 24401

Ph: (540) 487-0768		Kelsey Campbell Fortin, NP
428 S Magnolia Ave,
Waynesboro, VA 22980-3629

Ph: (540) 949-8241

Reviews and Comments


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Mirjam C Molenaar, NP
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Phone: 540-245-7940    Fax: 540-245-7941

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.