KELLY KOEHLER APRN
NPI 1003480179
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Kelly Koehler's NPI number?

The NPI number for Kelly Koehler is 1003480179. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Q: What is Kelly Koehler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Koehler was last updated on February 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2021PECOS EnrolledAccepts Medicare Assignment

45.52/100

CMS Quality Rating

4431 S EASTERN AVE STE 1, LAS VEGAS, NV 89119(702) 823-3003(702) 478-8205 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2025, May 13, 2021 (2 updates tracked since 2021).

On this page

About Kelly Koehler Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KOEHLER APRN (NPI 1003480179) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (835198) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1003480179

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY KOEHLERCredential: APRN

Location Address4431 S EASTERN AVE STE 1Las Vegas, NV 89119-7850

Mailing Address10414 Skye Canyon Falls AveLas Vegas, NV 89166-1208 · (928) 530-5566

Phone(702) 823-3003

Fax(702) 478-8205

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 13, 2021

Last NPPES UpdateFebruary 9, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2025

✔ NPI 1003480179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NV · 835198

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 835198 (NV)

4431 S EASTERN AVE STE 1, Las Vegas, NV 89119

Open in Google Maps ↗

Secondary Practice Location 1

Location 13150 N Tenaya Way Ste 135Las Vegas, NV 89128-0463 · Phone (702) 598-3999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Koehler Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032509955

PECOS Enrollment IDI20211208003610

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kelly Koehler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Recovery Psychiatric Services, LLC

Same address

Community/Behavioral Health

4431 S EASTERN AVE STE 1
Las Vegas, NV 89119

Reassigned Medicare billing, Nevada enrollment
3 clinicians in this Medicare group

NPI 1144787292 (702) 823-3003

Eid Nevada Critical Care PLLC

10 mi

Critical Care Medicine

6040 S FORT APACHE RD STE 100
Las Vegas, NV 89148

Reassigned Medicare billing, Nevada enrollment
101 clinicians in this Medicare group

NPI 1962712828 (702) 476-4900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

613 services286 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

96 services92 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

60 services59 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number290003

Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

45.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

25.38

Improvement Activities

Cost

71.87

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RECOVERY PSYCHIATRIC SERVICES, LLC

Community/Behavioral Health