KELSEY RAFFAELA KOETZNER FNP
NPI 1194580480
Nurse Practitioner - Family in Lindenhurst, NY

Q: What is Kelsey Koetzner's NPI number?

The NPI number for Kelsey Koetzner is 1194580480. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Q: What is Kelsey Koetzner'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 Kelsey Koetzner was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 February 16, 2024

152 N WELLWOOD AVE STE 3, LINDENHURST, NY 11757(631) 226-4342 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelsey Raffaela Koetzner Fnp NPPES

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

KELSEY RAFFAELA KOETZNER FNP (NPI 1194580480) is an individual family provider in Lindenhurst, New York, licensed in New York (F353370-01) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1194580480

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELSEY RAFFAELA KOETZNERCredential: FNP

Location Address152 N WELLWOOD AVE STE 3Lindenhurst, NY 11757-4091

Mailing Address25 Carolyn CtAmityville, NY 11701-1551 · (516) 993-7005

Phone(631) 226-4342

Sole ProprietorNo

Enumeration DateFebruary 16, 2024

NPPES CertifiedFebruary 16, 2024

✔ NPI 1194580480 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 NY · F353370-01

152 N WELLWOOD AVE STE 3, Lindenhurst, NY 11757

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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 Kelsey Koetzner's NPI number?

The NPI number for Kelsey Koetzner is 1194580480. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Where is Kelsey Koetzner located?

Kelsey Koetzner practices at 152 N Wellwood Ave Ste 3, Lindenhurst, NY 11757. The listed phone number is (631) 226-4342.

What is Kelsey Koetzner's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelsey Koetzner was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.