KELLY BUCALO APRN
NPI 1992367080
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV
About Kelly Bucalo Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY BUCALO APRN (NPI 1992367080) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (820127) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Bucalo Aprn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
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 Bucalo's NPI number?
The NPI number for Kelly Bucalo is 1992367080. It was assigned to this individual provider in the NPPES registry on June 28, 2019.
Where is Kelly Bucalo located?
Kelly Bucalo practices at 911 N Buffalo Dr Unit 213, Las Vegas, NV 89128. The listed phone number is (702) 405-8088.
What is Kelly Bucalo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelly Bucalo enrolled in Medicare?
Yes. Kelly Bucalo 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.
What insurance does Kelly Bucalo accept?
Health plans from Ambetter from Arizona Complete Health list Kelly Bucalo 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 Bucalo was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelly Bucalo, APRN · NPI 1992367080
Psychiatric/Mental Health physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 28, 2019.
## Identity
- **NPI:** 1992367080 (Entity type: Individual)
- **Enumerated:** June 28, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 820127 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 911 N BUFFALO DR UNIT 213, Las Vegas, NV 89128-0381
- **Phone:** (702) 405-8088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1992367080) · Data from the CMS NPPES public registry.