Kalan Ann Kelch, AG-ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

221426 Issued in AZ

Practice address

14445 W McDowell Rd Ste A104
Goodyear, AZ 85395-2518

Phone

(480) 561-5000

Fax

(480) 984-4066

NPI assigned

Mar 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Canyon Pain and SpineGroup PAC ID 3870992647, 17 clinicians

Practice addresses (Care Compare)

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.

• Canyon Pain and Spine

  • Pain Medicine Physician
  • Mesa, AZ
  • NPI 1518547769
  Medicare reassignment Care Compare group NPD
• Joseph a Caplan MD PC

  • Cardiovascular Disease Physician
  • Peoria, AZ
  • NPI 1649389156
  Medicare reassignment NPD
• Canyon Pain and Spine

  • Durable Medical Equipment & Medical Supplies
  • Buckeye, AZ
  • NPI 1467292938
  NPD

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1659764124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 W MCDOWELL RD STE A104",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952518",
            "telephone_number": "480-561-5000",
            "fax_number": "480-984-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 W MCDOWELL RD STE A104",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952518",
            "telephone_number": "480-561-5000",
            "fax_number": "480-984-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6320 W Union Hills Dr Ste A270",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087175",
            "country_code": "US",
            "telephone_number": "480-561-5000",
            "fax_number": "480-984-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13920 W Camino Del Sol Ste 8",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853754438",
            "country_code": "US",
            "telephone_number": "480-561-5000",
            "fax_number": "480-984-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELCH",
        "first_name": "KALAN",
        "middle_name": "ANN",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "221426",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "221426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katsur Dental of Arizona, Inc.
• Stacey Lynn Kauffman, SLPA
• Simran Kaur, NP-C
• KC Medical Management
• Sire Keita
• Julianne Kemp
• Julia Anne Kemper, FNP-C
• Coby Kempton, R.N.
• Elizabeth Hope Kendall, LPC
• Megan Nicole Kenneson

• Acute Care Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.