Individual provider Active NPI

Kennie I Koelsch, MSN, ACNP-BC, CRNP

  • Acute Care Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1174764658
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024171146 Issued in VA
Practice address
2726 Electric Rd
Roanoke, VA 24018-3528
Phone
(540) 772-4448
Fax
(540) 772-0410
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024171146 VA Primary
Acute Care Nurse Practitioner 363LA2100X SP009837 PA

Addresses

Primary practice location

2726 Electric Rd
Roanoke, VA 24018-3528

Mailing address

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 728-0298

Other practice location 1

1906 Belleview Ave SE
ACP Cardiology
Roanoke, VA 24014-1838
Phone (540) 981-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140125000053 VA Practitioner - Nurse Practitioner 5698812303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians
Murray E Joiner Jr MD PCGroup PAC ID 4284637695, 17 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (561) 997-0821

2726 Electric Rd
Suite 203
Roanoke, VA 24018-3528
Phone (540) 772-4448

Hospital & facility affiliations

  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024171146VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Feb 24, 2014 Accepting new patients
Murray E Joiner Jr MD PC CurrentSince Feb 1, 2026 Accepting new patients
Murray E Joiner Jr MD PC CurrentSince Feb 1, 2026 Accepting new patients
Carilion Medical Center CurrentSince Feb 24, 2014 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

35 Medical Ct
Hardy, VA 24101
Phone (540) 484-4836

2726 Electric Rd
Ste 203
Roanoke, VA 24018
Phone (540) 772-4448

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

2001 Crystal Spring Ave SW
Ste 140
Roanoke, VA 24014
Phone (540) 981-7600

2726 Electric Rd
Roanoke, VA 24018
Phone (540) 772-4448

2001 Crystal Spring Ave SW
Ste 300
Roanoke, VA 24014
Phone (540) 342-7941

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: kkoelsch57934@direct.carilionclinic.org

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1174764658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-728-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183528",
            "telephone_number": "540-772-4448",
            "fax_number": "540-772-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Belleview Ave SE",
            "address_2": "ACP Cardiology",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240141838",
            "country_code": "US",
            "telephone_number": "540-981-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOELSCH",
        "first_name": "KENNIE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MSN, ACNP-BC, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024171146",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP009837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.