Kelsey Lynn Nickerson, RN
Registered Nurse, Case Management in Roseville, CA. Individual provider (NPI-1).
NPI number1023915014
StatusActive
Last updated in NPPESOct 22, 2026
Details
- NPI
- 1023915014
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelsey Lynn Nickerson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2026
- Certification date
- Oct 22, 2026
- Last updated
- Oct 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | 849233 | CA | Yes |
Practice location
11801 Go For Broke RdRoseville, CA 95678-7055
Phone 916-409-8258 · Fax 916-409-8267
Mailing address
1929 Hamersley LnLincoln, CA 95648-3276
Phone 916-412-2694
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Case Management Registered Nurse providers in Roseville, CA
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- Terri Cook-PalaciosNPI 1285508853
- Lilia Cortez, RN PHNNPI 1891238325
- Cynthia Gayle Hall, PHNNPI 1073819827
- Susan Elaine Turner, RNNPI 1952056046
- Donna Margherita Vitale, RN BSN PHNNPI 1710347505
All 7 Case Management Registered Nurse providers in Roseville · All 6,478 providers in Roseville
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