Individual provider Active NPI

Lori Koehler, CRNP

  • Family Nurse Practitioner
  • Chester, CA
National Provider Identifier
1801343157
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
841731 Issued in NV
Practice address
199 Reynolds Road,
Chester, CA 96020-9602
Phone
(833) 227-3743
NPI assigned
Sep 3, 2016
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2307216 MA
Family Nurse Practitioner 363LF0000X SP015704 PA
Family Nurse Practitioner 363LF0000X 841731 NV Primary
Family Medicine Physician 207Q00000X NP95360029 CA

Addresses

Primary practice location

199 Reynolds Road,
Chester, CA 96020-9602

Mailing address

199 Reynolds Road,
Chester, CA 96020
Phone (106) 130-4816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190807001985 PA Practitioner - Nurse Practitioner 6800123365
I20240313000156 CA Practitioner - Nurse Practitioner 6800123365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seneca Healthcare DistrictGroup PAC ID 8820907140, 22 clinicians

Practice addresses (Care Compare)

130 Brentwood Dr
Chester, CA 96020
Phone (530) 258-2067

199 Reynolds Rd
Chester, CA 96020

PO Box
Chester, CA 96020

PO Box
Chester, CA 96020-0737

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95360029CAMDFamily Medicine Physician
RN2307216MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Healthcare District CurrentSince Jan 8, 2024 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Seneca Healthcare District CurrentSince Jan 8, 2024 Accepting new patients

Locations

L2540
Columbus, OH 43260

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

60 Highland Rd
Bethel Park, PA 15102
Phone (412) 531-6050

300 Leader Dr
Williamsport, PA 17701
Phone (570) 323-3758

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1801343157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 REYNOLDS ROAD,",
            "city": "CHESTER",
            "state": "CA",
            "postal_code": "96020",
            "telephone_number": "106-130-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 REYNOLDS ROAD,",
            "city": "CHESTER",
            "state": "CA",
            "postal_code": "960209602",
            "telephone_number": "833-227-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "LORI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-03",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2307216",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015704",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "841731",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "NP95360029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, CA

Sources for this page

Verify at the official NPI Registry.