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

Kelsey Waisanen

Individual provider Physician Assistant · NPI 1154084580

Kelsey Waisanen is a Physician Assistant in Miller Place, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

111 Sylvan Ave
Miller Place, NY 11764-2420
Phone: (631) 928-4888
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 027541 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1154084580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2021
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

Other providers in Miller Place