KELSEY KOEHLER
NPI 1760925002
Anesthesiologist Assistant in Liberty, MO

Active since November 18, 2016Accepts Medicare Assignment
2525 GLENN HENDREN DR, LIBERTY, MO 64068(913) 642-4900 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2018, Jul 6, 2017, Nov 18, 2016 (3 updates tracked since 2016).

About Kelsey Koehler NPPES

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

KELSEY KOEHLER (NPI 1760925002) is an individual anesthesiologist assistant in Liberty, Missouri, licensed in Missouri (2017017187) and active in the NPI registry since November 2016. She is affiliated with Mercy Hospital St Louis, maintains a secondary practice location in Tulsa, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760925002
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameKELSEY KOEHLER
Location Address2525 GLENN HENDREN DRLiberty, MO 64068-9625
Mailing Address1923 S Utica AveTulsa, OK 74104-6520
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 18, 2016
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1760925002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in MO · 2017017187
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
2525 GLENN HENDREN DR, Liberty, MO 64068

Secondary Practice Location 1

Location 11923 S Utica AveTulsa, OK 74104-6520 · Phone (918) 748-7857

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Koehler is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113296476
PECOS Enrollment IDI20170630001017

Medicare Billing Reassignments

2

Medicare enrollment records show Kelsey Koehler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2525 GLENN HENDREN DR
Liberty, MO 64068
  • Reassigned Medicare billing, Missouri enrollment
  • 73 clinicians in this Medicare group
Anesthesiology
615 S NEW BALLAS RD, DEPT. OF ANESTHESIA
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 309 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

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.

Internal Medicine
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Hospitalist
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Nurse Practitioner (Family)
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Anesthesiologist Assistant
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Emergency Medicine
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Radiology (Vascular & Interventional Radiology)
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Anesthesiologist Assistant
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Nurse Practitioner (Family)
2525 GLENN HENDREN DR, PAIN MANAGEMENT
LIBERTY, MO 64068

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 Koehler's NPI number?

The NPI number for Kelsey Koehler is 1760925002. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Kelsey Koehler located?

Kelsey Koehler practices at 2525 Glenn Hendren Dr, Liberty, MO 64068. The listed phone number is (913) 642-4900.

What is Kelsey Koehler's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kelsey Koehler enrolled in Medicare?

Yes. Kelsey Koehler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelsey Koehler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Koehler reassigns Medicare benefits to 2 organizations: Professional Anesthetic Care Inc (Liberty, MO) and Western Anesthesiology Associates, Inc. (Saint Louis, MO). 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 Kelsey Koehler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Koehler accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Kelsey Koehler 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.

Is Kelsey Koehler affiliated with any hospitals?

According to CMS data, Kelsey Koehler is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Kelsey Koehler was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.