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KELLY JEAN MECHAM APRN, FPN-BC, DNP
NPI 1730449166
Nurse Practitioner - Family in Henderson, NV

Active since May 18, 2012PECOS Enrolled
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014(702) 777-4809(702) 777-4822 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2020, Mar 4, 2016 (2 updates tracked since 2016).

About Kelly Jean Mecham Aprn, Fpn-bc, Dnp NPPES

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

KELLY JEAN MECHAM APRN, FPN-BC, DNP (NPI 1730449166) is an individual family provider in Henderson, Nevada, licensed in Nevada (APN000780) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730449166
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY JEAN MECHAMCredential: APRN, FPN-BC, DNP
Location Address874 AMERICAN PACIFIC DRHenderson, NV 89014-8800
Mailing Address1801 W Olympic Blvd # 2265Pasadena, CA 91199-0001
Phone(702) 777-4809
Fax(702) 777-4822
Sole ProprietorNo
Enumeration DateMay 18, 2012
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1730449166 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 NV · APN000780
874 AMERICAN PACIFIC DR, Henderson, NV 89014
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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 Jean Mecham Aprn, Fpn-bc, Dnp 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.

Areas of Expertise CMS Part B claims

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.

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.
27 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89014 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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.

DUYEN CAO MEDICAL STUDENT
Student in an Organized Health Care Education/Training Program
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-8687
DR. JOHN EARL PADGETT PA-C, PHD
Physician Assistant (Medical)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-1766
DR. JACQUELINE RANDA PT
Physical Therapist (Orthopedic)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-3122
SHEETAL SHENOY
Student in an Organized Health Care Education/Training Program
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-8687
ILIANA ESTHER FUENTEZ OSUNA
Behavior Technician
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-9969
DORIS LOFTON RBT
Behavior Technician
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-4808
JENNIFER MCCONNELL RBT
Behavior Analyst
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-4808
SARAH PERALTA
Behavior Technician
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-4808

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 Mecham's NPI number?

The NPI number for Kelly Mecham is 1730449166. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Kelly Mecham located?

Kelly Mecham practices at 874 American Pacific Dr, Henderson, NV 89014. The listed phone number is (702) 777-4809.

What is Kelly Mecham's specialty?

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

Is Kelly Mecham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Mecham was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.