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EMILY L KOELSCH RN, CPNP-PC
NPI 1114494002
Pediatrics in Fayetteville, AR

Active since October 29, 2018PECOS Enrolled
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703(781) 264-7754 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2025, May 25, 2022, Apr 8, 2019 and 1 more (4 updates tracked since 2018).

About Emily L Koelsch Rn, Cpnp-pc NPPES

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

EMILY L KOELSCH RN, CPNP-PC (NPI 1114494002) is an individual pediatrics provider in Fayetteville, Arkansas, licensed in Arkansas (227343) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114494002
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEMILY L KOELSCHCredential: RN, CPNP-PC
Location Address3215 N NORTHHILLS BLVDFayetteville, AR 72703-4424
Mailing Address3215 N Northhills BlvdFayetteville, AR 72703-4424
Phone(781) 264-7754
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 29, 2018
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1114494002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AR · 227343
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 95020554 (CA), RN2303260 (MA)
3215 N NORTHHILLS BLVD, Fayetteville, AR 72703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily L Koelsch Rn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345581633
PECOS Enrollment IDI20251028003946
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 Reassignment

Medicare enrollment records show Emily Koelsch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Washington Regional Medical System
0.9 mi
Hospitalist
3215 N NORTH HILLS BLVD
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 123 clinicians in this Medicare group
NPI 1306801485 (479) 463-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES 20

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

BRAYTON MCFARLAND CRNA
Nurse Anesthetist, Certified Registered
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Washington County (479) 463-1000
MR. ERIC P B GOODSPEED D.O.
Hospitalist
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Washington County (479) 463-7102
JARRET SANDERS MD
Radiology (Diagnostic Radiology)
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Washington County (479) 968-7930
KELSEY ERIN VAN SLYKE CRNA
Nurse Anesthetist, Certified Registered
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Washington County (479) 463-1000
JULIET H ROUX
Surgery (Trauma Surgery)
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Washington County (479) 463-1066
TRAVIS LANE BARBER MSN, RN, AGACNP-BC
Nurse Practitioner
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Washington County (479) 463-1000
DR. ADAM F CHANDLER MD
Emergency Medicine
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Washington County (479) 463-7102
DR. DUSTIN TAYLOR BRANNON DNAP-CRNA
Registered Nurse
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Washington County (479) 463-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Koelsch's NPI number?

The NPI number for Emily Koelsch is 1114494002. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Emily Koelsch located?

Emily Koelsch practices at 3215 N Northhills Blvd, Fayetteville, AR 72703. The listed phone number is (781) 264-7754.

What is Emily Koelsch's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Emily Koelsch enrolled in Medicare?

Yes. Emily Koelsch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Koelsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Koelsch reassigns Medicare benefits to Washington Regional Medical System (Fayetteville, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Koelsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Koelsch accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Emily Koelsch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Koelsch was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.