Individual ProviderKelsey SchulmanNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2907(703) 295-9360(516) 945-3107PECOS EnrollmentBased on the most recent information from CMS, provider Kelsey Schulman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1053732115Provider TypeIndividualFull NameSchulman, KelseyGenderFemaleSole ProprietorNoEnumeration Date12/16/2013Last Updated3/20/2017Contact InformationPractice LocationPractice Address3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2907Phone(703) 295-9360Fax(703) 295-9369Mailing LocationMailing Address68 South Service Road, Suite 350, Melville, NY 11747Phone(516) 945-3107Fax(516) 945-3131Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024171489VirginiaCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR187906MarylandProvider IdentifiersIDDescriptionIssuerIDPENDINGDescriptionMedicaidIssuerUnlistedVirginia