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KELLY KINCHELOE FNP-C
NPI 1588187488
Nurse Practitioner - Family in Austin, TX

Active since July 23, 2017PECOS Enrolled
4009 BANISTER LN STE 370, AUSTIN, TX 78704(512) 541-4068(737) 358-4057 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Mar 17, 2018, Jul 23, 2017 (3 updates tracked since 2017).

About Kelly Kincheloe Fnp-c NPPES

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

KELLY KINCHELOE FNP-C (NPI 1588187488) is an individual family provider in Austin, Texas, licensed in Texas (AP134385) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1588187488
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY KINCHELOECredential: FNP-C
Location Address4009 BANISTER LN STE 370Austin, TX 78704-7040
Mailing Address4009 Banister Ln Ste 370Austin, TX 78704-7040 · (512) 541-4068 · Fax (737) 358-4057
Phone(512) 541-4068
Fax(737) 358-4057
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 23, 2017
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1588187488 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 · AP134385
4009 BANISTER LN STE 370, Austin, TX 78704
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Kincheloe Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567736820
PECOS Enrollment IDI20170925003592
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

3

Medicare enrollment records show Kelly Kincheloe reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

H & W Sleep PLLC Dba Frontier Sleep And Wellness
Same address
Sleep Medicine
4009 BANISTER LN STE 370
Austin, TX 78704
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1891590394 (512) 215-4350
Pediatric Urgent Care PA
139 mi
Urgent Care
1640 LAKE WOODLANDS DR, SUITE E
The Woodlands, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 56 clinicians in this Medicare group
NPI 1598059776 (214) 729-5600
Tricoastal Narcolepsy And Sleep
150 mi
Sleep Medicine
11200 BROADWAY ST STE 2743
Pearland, TX 77584
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1265044689 (832) 356-0158

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 6

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
20 services17 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.
18 services15 patients
Test for hearing various pitches using earphone 92552
This is a hearing test where earphones are worn to detect different pitch levels. Sounds of various frequencies are played, and you indicate when you hear them. This helps evaluate your hearing ability. It's safe, comfortable, and non-invasive.
16 services13 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
16 services13 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78704 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers18 claims18 services$32.40 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$43.42 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers11 claims11 services$15.69 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers21 claims121 services$1.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

KRISTA JOY RENAE DAVIS NP
Nurse Practitioner (Acute Care)
4009 BANISTER LN STE 370
AUSTIN, TX 78704
Travis County (512) 541-4068
FRONTIER SLEEP MANAGEMENT LLC
Sleep Specialist, PhD
4009 BANISTER LN STE 370
AUSTIN, TX 78704
Travis County (512) 215-4350
H & W SLEEP PLLC DBA FRONTIER SLEEP AND WELLNESS
Internal Medicine (Sleep Medicine)
4009 BANISTER LN STE 370
AUSTIN, TX 78704
Travis County (512) 215-4350

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 Kelly Kincheloe's NPI number?

The NPI number for Kelly Kincheloe is 1588187488. It was assigned to this individual provider in the NPPES registry on July 23, 2017.

Where is Kelly Kincheloe located?

Kelly Kincheloe practices at 4009 Banister Ln Ste 370, Austin, TX 78704. The listed phone number is (512) 541-4068.

What is Kelly Kincheloe's specialty?

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

Is Kelly Kincheloe enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Kincheloe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kincheloe reassigns Medicare benefits to 3 organizations: H & W Sleep PLLC Dba Frontier Sleep And Wellness (Austin, TX), Pediatric Urgent Care PA (The Woodlands, TX) and Tricoastal Narcolepsy And Sleep (Pearland, 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 Kelly Kincheloe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Kincheloe accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Oscar Insurance Company list Kelly Kincheloe 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 Kelly Kincheloe was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.