Kelly Koehler, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

835198 Issued in NV

Practice address

4431 S Eastern Ave Ste 1
Las Vegas, NV 89119-7850

Phone

(702) 823-3003

Fax

(702) 478-8205

NPI assigned

May 13, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eid Nevada Critical Care PLLCGroup PAC ID 9537357793, 62 clinicians

Recovery Psychiatric Services, LLCGroup PAC ID 8628303146, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eid Nevada Critical Care PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1962712828
  Medicare reassignment Care Compare group NPD
• Recovery Psychiatric Services, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1144787292
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sunrise Hospital and Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation
• Bullhead City Hospital Corporation

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1003480179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10414 SKYE CANYON FALLS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891661208",
            "telephone_number": "928-530-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 S EASTERN AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197850",
            "telephone_number": "702-823-3003",
            "fax_number": "702-478-8205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 N Tenaya Way Ste 135",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280463",
            "country_code": "US",
            "telephone_number": "702-598-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "835198",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "835198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jane Kodama, RPH
• Keshavan Kodandapani, APN
• Rachael Kodya, RN
• Bailey Koebernick
• Ashly Juliet Koehler, MSN, APRN, PMHNP-BC
• Bruce C Koelliker, DC
• Aubrey Koelsch
• Katelyn Michelle Kofford, PA-C
• Elijah Koga
• David Kogan

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.