Kevin Matthew Kerchansky, DC, FNP-C, DACRB

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

251086 Issued in AZ

Practice address

6036 N 19TH Ave Ste 204
Phoenix, AZ 85015-2104

Phone

(480) 616-0356

Fax

(480) 616-0603

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Triad Pain Management Group, PLLC

  • Multi-Specialty Clinic/Center
  • Gold Canyon, AZ
  • NPI 1477802536
  NPD
• Justin Brandau D.C., P.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1548451750
  NPD (past)
• Triad Chiropractic & Rehabilitation Clinics, LLC

  • Independent Medical Examiner Chiropractor
  • Tempe, AZ
  • NPI 1326362807
  NPD (past)
• Gapt, Inc

  dba Grandview Avenue Physical Therapy

  • Chiropractor
  • Columbus, OH
  • NPI 1497043442
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1407988785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650 DEPT # 880391",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85038",
            "telephone_number": "480-626-1746",
            "fax_number": "480-626-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152104",
            "telephone_number": "480-616-0356",
            "fax_number": "480-616-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5133 N Central Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850120006",
            "country_code": "US",
            "telephone_number": "602-775-5670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10147 Grand Ave Ste C4",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513435",
            "country_code": "US",
            "telephone_number": "480-616-0356",
            "fax_number": "480-616-0603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4915 E Baseline Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342966",
            "country_code": "US",
            "telephone_number": "480-616-0356",
            "fax_number": "480-616-0603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERCHANSKY",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC, FNP-C, DACRB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3728",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "251086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "11172882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Kerby, FNP-C
• Virginia Tiffany Kerby
• Kerch Chiropractic PLC
• Kimberly Kerch, D.C.
• Wayne A Kerch, D.C.
• Keri Sitrick Health Coaching, LLC
• Shenouda A Keriacous, RPH
• Natasha Keric, M.D.
• Ross H Kerievsky, DC, ND
• Kermit LLC

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.