Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelsey S Ivusich, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1912568148

Kelsey S Ivusich, AGACNP-BC is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2019, 7 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1590
Phone: (410) 328-8141
Fax: (410) 328-0177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R186021 (MD)

Record details

NPI number1912568148
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedJune 27, 2019
Last updated in NPPESAugust 26, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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