Individual provider Active NPI

Patricia A Koller, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1023101995
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004717 Issued in KY
Practice address
1200 Breckenridge St
Owensboro, KY 42303-1089
Phone
(270) 685-8230
Fax
(270) 685-8233
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005879A IN
Family Nurse Practitioner 363LF0000X 3004717 KY Primary

Addresses

Primary practice location

1200 Breckenridge St
Owensboro, KY 42303-1089

Mailing address

1200 Breckenridge St
Owensboro, KY 42303-1089
Phone (270) 685-8230

Other identifiers 1

IdentifierTypeStateIssuer
78015211MedicaidKY

Other names 1

  • Patricia Wheeler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20050920000480 KY Practitioner - Nurse Practitioner 1355375361 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Partners of Kentucky, LLCGroup PAC ID 1153406301, 45 clinicians
Owensboro Medical Practice, PLLCGroup PAC ID 0446157671, 20 clinicians
Gim of Kentucky PLLCGroup PAC ID 5294036521, 5 clinicians
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians

Practice addresses (Care Compare)

114 E McMurtry Ave
Hartford, KY 42347-1614
Phone (270) 298-7437

1200 Breckenridge St
Owensboro, KY 42303-1089
Phone (270) 683-8672

2500 N Elm St
Henderson, KY 42420-2005
Phone (270) 826-9794

2529 Six Mile LN
Louisville, KY 40220-2934
Phone (502) 491-5560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3004717KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC Nurse Practitioner CurrentSince Jun 1, 2023 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jun 1, 2023 Accepting new patients
SHC Medical Partners of Kentucky, LLC Nurse Practitioner CurrentSince Nov 27, 2023 Accepting new patients
Owensboro Medical Practice, PLLC Family CurrentSince Aug 12, 2025 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Feb 1, 2017 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Mar 2, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Jan 6, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Jan 6, 2024 Accepting new patients
Pulmonary Associates of Owensboro PSC Past Accepting new patients

Locations

15100 N US Highway 25 E
Corbin, KY 40701
Phone (606) 261-2054

114 E McMurtry Ave
Hartford, KY 42347
Phone (270) 298-7437

230 N Green St
Henderson, KY 42420
Phone (270) 854-3196

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

1930 Bishop Ln
Ste 1600
Louisville, KY 40218
Phone (502) 272-5034

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

1200 Breckenridge St
Owensboro, KY 42303
Phone (270) 683-8672

1200 Breckenridge St
Ste 102
Owensboro, KY 42303
Phone (270) 683-8672

115 Lee Ave
#101
Pikeville, KY 41501
Phone (606) 727-5296

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: pkoller118795@direct.nortonhealthcare.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/ohio-1e3dfad9

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1023101995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-685-8230",
            "fax_number": "270-685-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-685-8230",
            "fax_number": "270-685-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLER",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005879A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78015211",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WHEELER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.