Kelly Spychalski, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

214685 Issued in OK

Practice address

430 N Monte Vista St
Ada, OK 74820-4610

Phone

(580) 421-1141

Fax

(580) 421-1224

NPI assigned

Nov 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Kelly Leigh Peterson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WY, OK, MT3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kalispell Regional Medical Center IncGroup PAC ID 5294644381, 422 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051
• Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336
• Cabinet Peaks Medical Center Hospital, Libby, MT, CCN 271320
• Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
• St Luke Community Hospital Hospital, Ronan, MT, CCN 271325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krmcmedicalrecords@krhdirect.org

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.

• Kalispell Regional Medical Center Inc

  • General Acute Care Hospital
  • Kalispell, MT
  • NPI 1417945627
  Medicare reassignment Care Compare group
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment NPD
• West Park Hospital District

  • Critical Access Hospital
  • Cody, WY
  • NPI 1558351536
  Medicare reassignment NPD
• Kalispell Regional Medical Center Inc

  • Clinic/Center
  • Kalispell, MT
  • NPI 1235333139
  NPD
• Kalispell Regional Medical Center, Inc

  • Radiology Clinic/Center
  • Whitefish, MT
  • NPI 1073362463
  NPD
• Kalispell Regional Medical Center, Inc

  • Clinic/Center
  • Kalispell, MT
  • NPI 1992395180
  NPD
• West Park Hospital District

  • Emergency Medicine Physician
  • Basin, WY
  • NPI 1942921937
  NPD
• Mercy Hospital Ada, Inc

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1952643306
  NPD (past)
• Back to Health Chiropractic Center

  • Chiropractor
  • Findlay, OH
  • NPI 1093085763
  NPD (past)
• Kalispell Regional Medical Center, Inc

  • Surgery Physician
  • Kalispell, MT
  • NPI 1215527403
  NPD (past)

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

• Mercy Hospital Ada, Inc

  • Ambulance
  • Ada, OK
  • NPI 1831533728

  Hospital

  Care Compare affiliation
• Mercy Hospital Ada, Inc

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1952643306
  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  • Surgical Oncology Physician
  • Kalispell, MT
  • NPI 1053790063

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  • Maternal & Fetal Medicine Physician
  • Kalispell, MT
  • NPI 1053798710

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  • General Acute Care Hospital
  • Kalispell, MT
  • NPI 1417945627
  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Kalispell, MT
  • NPI 1477989770

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  • Nephrology Physician
  • Kalispell, MT
  • NPI 1700277837

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  • Hematology & Oncology Physician
  • Kalispell, MT
  • NPI 1891151122

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  • Obstetrics & Gynecology Physician
  • Kalispell, MT
  • NPI 1972982981

  Hospital

  Care Compare affiliation
• Logan Health - Whitefish

  • Critical Access Hospital
  • Whitefish, MT
  • NPI 1396710851
  Care Compare affiliation
• St Lukes Community Hospital

  • Critical Access Hospital
  • Ronan, MT
  • NPI 1336213446
  Care Compare affiliation
• St. John'S Lutheran Hospital, Inc.

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050
  Care Compare affiliation

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1790182368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204610",
            "telephone_number": "580-421-1141",
            "fax_number": "580-421-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204610",
            "telephone_number": "580-421-1141",
            "fax_number": "580-421-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Heritage Way Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013160",
            "country_code": "US",
            "telephone_number": "406-752-8900",
            "fax_number": "406-752-8909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPYCHALSKI",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WY",
            "license": "38354.1542",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "16847",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "263149",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MT",
            "license": "263149",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "214685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 Heritage Way Ste 1100",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "PETERSON",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Gerontology Nurse Practitioner in Ada, OK
• Providers in Ada, OK by specialty
• Gerontology Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.