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MRS. SUPAWAN KINCHELOE PMHNP-BC
NPI 1497549547
Nurse Practitioner - Psychiatric/Mental Health in Leander, TX

Active since April 05, 2025PECOS Enrolled
2018 WOODWAY DR, LEANDER, TX 78641(660) 233-2882(660) 233-2882 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Supawan Kincheloe Pmhnp-bc NPPES

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

MRS. SUPAWAN KINCHELOE PMHNP-BC (NPI 1497549547) is an individual psychiatric/mental health provider in Leander, Texas, licensed in Texas (2024005578) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497549547
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SUPAWAN KINCHELOECredential: PMHNP-BC
Location Address2018 WOODWAY DRLeander, TX 78641-8369
Mailing Address2018 Woodway DrLeander, TX 78641-8369 · (660) 233-2882 · Fax (660) 233-2882
Phone(660) 233-2882
Fax(660) 233-2882
Sole ProprietorYes
Enumeration DateApril 5, 2025
NPPES CertifiedApril 5, 2025
✔ NPI 1497549547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 2024005578
2018 WOODWAY DR, Leander, TX 78641
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Supawan Kincheloe Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78641 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.

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 Supawan Kincheloe's NPI number?

The NPI number for Supawan Kincheloe is 1497549547. It was assigned to this individual provider in the NPPES registry on April 5, 2025.

Where is Supawan Kincheloe located?

Supawan Kincheloe practices at 2018 Woodway Dr, Leander, TX 78641. The listed phone number is (660) 233-2882.

What is Supawan Kincheloe's specialty?

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

Is Supawan Kincheloe enrolled in Medicare?

Yes. Supawan Kincheloe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Supawan Kincheloe was last updated on April 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.