MRS. KELLI EMELINE IVY APRN, FNP-BC
NPI 1114673951
Nurse Practitioner - Family in Tyler, TX

Q: What is Kelli Ivy's NPI number?

The NPI number for Kelli Ivy is 1114673951. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Q: What is Kelli Ivy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Ivy was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 01, 2022PECOS EnrolledAccepts Medicare Assignment

89.44/100

CMS Quality Rating

6115 NEW COPELAND RD STE 640, TYLER, TX 75703(903) 420-3443(903) 630-8797 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2026, Aug 4, 2022, Mar 1, 2022 (3 updates tracked since 2022).

On this page

About Mrs. Kelli Emeline Ivy Aprn, Fnp-bc NPPES

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

MRS. KELLI EMELINE IVY APRN, FNP-BC (NPI 1114673951) is an individual family provider in Tyler, Texas, licensed in Texas (1068869) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Palestine.

NPPES Registry Identity

NPI1114673951

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KELLI EMELINE IVYCredential: APRN, FNP-BC

Location Address6115 NEW COPELAND RD STE 640Tyler, TX 75703-6368

Mailing Address6115 New Copeland Rd Ste 640Tyler, TX 75703-6368 · (903) 420-3443 · Fax (903) 630-8797

Phone(903) 420-3443

Fax(903) 630-8797

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 1, 2022

Last NPPES UpdateMay 20, 20263 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1114673951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1068869

6115 NEW COPELAND RD STE 640, Tyler, TX 75703

Open in Google Maps ↗

Secondary Practice Location 1

Location 13415 S Loop 256Palestine, TX 75801-6981 · Phone (903) 727-2200 · Fax (903) 727-2209

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Kelli Emeline Ivy Aprn, Fnp-bc 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 ID446646491

PECOS Enrollment IDI20220331001211

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 Kelli Ivy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vitality Mobile Wound Care LLC

Same address

Family

6115 NEW COPELAND RD STE 640
Tyler, TX 75703

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

NPI 1811876824 (903) 420-3443

Texas Oncology PA

94 mi

Medical Oncology

3410 WORTH ST
Dallas, TX 75246

Reassigned Medicare billing, Texas enrollment
1,054 clinicians in this Medicare group

NPI 1003083445 (972) 997-8000

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 16

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

719 services381 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

600 services337 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

400 services234 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

269 services209 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

242 services157 patients

Microscopic examination for white blood cells with manual cell count 85007

This is a lab test where a small sample of your blood is studied under a microscope. The goal is to count the number of white blood cells, which are crucial for your body's immune response. The count can help identify potential health issues.

88 services60 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

88 services60 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

64 services60 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

64 services60 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

63 services59 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

59 services55 patients

Reticulated (young) platelet measurement 85055

Reticulated (young) platelet measurement is a blood test that helps determine the number of new platelets your body is producing. It's useful for diagnosing and monitoring conditions affecting platelet production, like anemia or chemotherapy effects.

51 services29 patients

Gammaglobulin (immune system protein) measurement 82784

Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.

36 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 patients

Lactate dehydrogenase (enzyme) level 83615

A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.

21 services21 patients

Red blood count, automated test 85045

An automated red blood count test is a routine lab procedure to measure the number of red blood cells in your blood. These cells carry oxygen throughout the body. The test helps assess overall health and detect conditions like anemia or polycythemia.

17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Palestine Regional Medical Center

Acute Care Hospitals · Palestine, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450747

Location2900 S Loop 256Palestine, TX 75801 · Anderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

89.44/100

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

Scored through an Alternative Payment Model

Quality

75.85

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

MS. PATRICIA ANN JUSTICE STEVENSON APRN

Clinical Nurse Specialist (Adult Health)

6115 NEW COPELAND RD STE 640
TYLER, TX 75703

Smith County (405) 473-2123

VITALITY MOBILE WOUND CARE LLC

Nurse Practitioner (Family)

6115 NEW COPELAND RD STE 640
TYLER, TX 75703

Smith County (903) 420-3443

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 Kelli Ivy's NPI number?

The NPI number for Kelli Ivy is 1114673951. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Kelli Ivy located?

Kelli Ivy practices at 6115 New Copeland Rd Ste 640, Tyler, TX 75703. The listed phone number is (903) 420-3443.

What is Kelli Ivy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelli Ivy enrolled in Medicare?

Yes. Kelli Ivy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelli Ivy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Ivy reassigns Medicare benefits to 2 organizations: Vitality Mobile Wound Care LLC (Tyler, TX) and Texas Oncology PA (Dallas, TX). Each 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 Kelli Ivy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Ivy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Kelli Ivy 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.

Is Kelli Ivy affiliated with any hospitals?

According to CMS data, Kelli Ivy is affiliated with Christus Mother Frances Hospital and Palestine Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelli Ivy was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.