Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Lynn De Villiers, FNP-C

Individual provider Family Nurse Practitioner · NPI 1669222865

Kelsey Lynn De Villiers, FNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2024, 2 years ago. Practices with Khakwani and Mohammad Medical PC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3540 E Baseline Rd
Phoenix, AZ 85042-9627
Phone: (623) 267-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 305140 (AZ)

Record details

NPI number1669222865
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Khakwani And Mohammad Medical Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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