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KELLY ROCHELLE KEVERSHAN
NPI 1699646182
Counselor - Professional in Tucson, AZ

Active since September 16, 2025PECOS Enrolled
2950 N DODGE BLVD, TUCSON, AZ 85716(520) 327-9863 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Rochelle Kevershan NPPES

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

KELLY ROCHELLE KEVERSHAN (NPI 1699646182) is an individual professional provider in Tucson, Arizona, licensed in Arizona (24139) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699646182
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY ROCHELLE KEVERSHAN
Location Address2950 N DODGE BLVDTucson, AZ 85716-2012
Mailing Address951 W Orange Grove Rd Apt 34202Tucson, AZ 85704-4034 · (520) 612-5870
Phone(520) 327-9863
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1699646182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · 24139
2950 N DODGE BLVD, Tucson, AZ 85716
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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)

Kelly Rochelle Kevershan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234622499
PECOS Enrollment IDI20251205000756
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.

Other Providers at the Same Location NPPES 5

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

PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Substance Abuse Rehabilitation Facility
2950 N DODGE BLVD
TUCSON, AZ 85716
Pima County (520) 327-9863
RONALD SCHRAMM
Substance Abuse Rehabilitation Facility
2950 N DODGE BLVD
TUCSON, AZ 85716
Pima County (520) 628-3154
MRS. JESSICA MICHELE CASTEL DE ORO LPC
Counselor (Professional)
2950 N DODGE BLVD
TUCSON, AZ 85716
Pima County (520) 327-9863
COMPASS VIDA LIBRE
Special Hospital
2950 N DODGE BLVD
TUCSON, AZ 85716
Pima County (520) 624-5272
COMMUNITY BRIDGES, INC.
Community Based Residential Treatment Facility, Mental Illness
2950 N DODGE BLVD
TUCSON, AZ 85716
Pima County (877) 931-9142

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 Kevershan's NPI number?

The NPI number for Kelly Kevershan is 1699646182. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Where is Kelly Kevershan located?

Kelly Kevershan practices at 2950 N Dodge Blvd, Tucson, AZ 85716. The listed phone number is (520) 327-9863.

What is Kelly Kevershan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Kevershan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Kevershan was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.