Individual provider Active NPI

Kara Koelbel, FNP-BC

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1295125946
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7589 Issued in AZ
Practice address
5916 E McKellips Rd
Mesa, AZ 85215-2755
Phone
(480) 930-4477
Fax
(415) 252-7176
NPI assigned
Feb 3, 2015
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP7589 AZ Primary

Addresses

Primary practice location

5916 E McKellips Rd
Mesa, AZ 85215-2755

Mailing address

5916 E McKellips Rd
Mesa, AZ 85215-2755
Phone (480) 930-4477

Other identifiers 2

IdentifierTypeStateIssuer
013874MedicaidAZ
Z175819OtherMEDICARE PTAN

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
I20150611002665 AZ Practitioner - Nurse Practitioner 2264753532 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

Practice addresses (Care Compare)

5916 E McKellips Rd
Mesa, AZ 85215-2755
Phone (888) 405-6396

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC CurrentSince Apr 3, 2023 Accepting new patients
4C Medical Group PLC CurrentSince Oct 14, 2022 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
4C Medical Group PLC CurrentSince Oct 14, 2022 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jan 5, 2019 Accepting new patients
Iora Senior Health, LLC CurrentSince Apr 3, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jan 5, 2019 Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Iora Senior Health, LLC Past Accepting new patients

Locations

3048 E Baseline Rd
Ste 120
Mesa, AZ 85204
Phone (480) 505-3276

5916 E McKellips Rd
Mesa, AZ 85215
Phone (480) 930-4477

1107 E Bell Rd
Phoenix, AZ 85022
Phone (602) 567-4800

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

8041 N Black Canyon Hwy
Ste 1
Phoenix, AZ 85021

8041 N Black Canyon Hwy
Ste I
Phoenix, AZ 85021

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

1 Lincoln St
Fl 24
Boston, MA 02111

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1295125946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 E MCKELLIPS RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152755",
            "telephone_number": "480-930-4477",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 E MCKELLIPS RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152755",
            "telephone_number": "480-930-4477",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELBEL",
        "first_name": "KARA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013874",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z175819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.