Kelly Koehler, APRN
Nurse Practitioner, Psych/Mental Health in Las Vegas, NV. Individual provider (NPI-1).
Details
- NPI
- 1003480179
- Entity type
- Individual (NPI-1)
- Name
- Kelly Koehler
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2021
- Certification date
- Feb 9, 2025
- Last updated
- Feb 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 835198 | NV | Yes |
| 363LF0000X | Nurse Practitioner, Family | 835198 | NV |
Practice location
4431 S Eastern Ave Ste 1Las Vegas, NV 89119-7850
Phone 702-823-3003 · Fax 702-478-8205
Mailing address
10414 Skye Canyon Falls AveLas Vegas, NV 89166-1208
Phone 928-530-5566
Other practice locations
Las Vegas, NV 89128-0463
Phone 702-598-3999
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.
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