ELLIE DIANE KOEHLY
NPI 1174333298
Nurse Practitioner - Psychiatric/Mental Health in Dickson, TN
About Ellie Diane Koehly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIE DIANE KOEHLY (NPI 1174333298) is an individual psychiatric/mental health provider in Dickson, Tennessee, licensed in Tennessee (39701) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ellie Diane Koehly 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Ellie Koehly's NPI number?
The NPI number for Ellie Koehly is 1174333298. It was assigned to this individual provider in the NPPES registry on January 10, 2025.
Where is Ellie Koehly located?
Ellie Koehly practices at 812 N Charlotte St, Dickson, TN 37055. The listed phone number is (660) 651-4387.
What is Ellie Koehly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ellie Koehly enrolled in Medicare?
Yes. Ellie Koehly 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.
When was this NPI record last updated?
The NPPES record for Ellie Koehly was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ellie Diane Koehly · NPI 1174333298
Psychiatric/Mental Health physician in Dickson, Tennessee. Individual provider, active in the CMS NPPES registry since January 10, 2025.
## Identity
- **NPI:** 1174333298 (Entity type: Individual)
- **Enumerated:** January 10, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 39701 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 812 N CHARLOTTE ST, Dickson, TN 37055-1009
- **Phone:** (660) 651-4387
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174333298) · Data from the CMS NPPES public registry.