Individual provider Active NPI

Kelly Lynn Luna, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1043895030
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
255426 Issued in AZ
Practice address
10217 N Metro Pkwy W
Phoenix, AZ 85051-1438
Phone
(602) 997-9006
Fax
(623) 546-3140
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 255426 AZ Primary

Addresses

Primary practice location

10217 N Metro Pkwy W
Phoenix, AZ 85051-1438

Mailing address

6751 N Sunset Blvd Ste 320
Glendale, AZ 85305-3155
Phone (623) 343-2970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210420001124 AZ Practitioner - Nurse Practitioner 7416365077 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace of Mind Consultants PLLCGroup PAC ID 6800199845, 8 clinicians

Practice addresses (Care Compare)

4435 E Chandler Blvd
Suite 200
Phoenix, AZ 85048-7651
Phone (602) 710-8029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255426AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind 247 Practice LLC CurrentSince Apr 24, 2022 Accepting new patients
Mind 247 Practice LLC CurrentSince Apr 24, 2022 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Mar 11, 2021 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Mar 11, 2021 Accepting new patients
Peace of Mind Consultants PLLC CurrentSince Mar 8, 2025 Accepting new patients
Denova Collaborative Health, LLC Current Accepting new patients

Locations

1237 S Val Vista Dr
Ste 117118
Mesa, AZ 85204

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

750 E Thunderbird Rd
Ste 1
Phoenix, AZ 85022
Phone (602) 942-8512

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

3330 N 2nd St
Ste 601
Phoenix, AZ 85012
Phone (602) 234-3444

3620 N 3rd St
Phoenix, AZ 85012
Phone (602) 329-8250

10046 N Metro Pkwy W
Ste 115
Phoenix, AZ 85051
Phone (602) 674-5515

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 894-2880

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

3101 N Central Ave
Ste 550
Phoenix, AZ 85012

610 E Baseline Rd
Ste 5
Phoenix, AZ 85042

750 E Thunderbird Rd
#13
Phoenix, AZ 85022

9014 S Central Ave
Phoenix, AZ 85042
Phone (602) 384-8820

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1043895030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 N SUNSET BLVD STE 320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053155",
            "telephone_number": "623-343-2970",
            "fax_number": "623-546-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 N METRO PKWY W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511438",
            "telephone_number": "602-997-9006",
            "fax_number": "623-546-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "255426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.