Kelly Bucalo, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

820127 Issued in NV

Practice address

911 N Buffalo Dr Unit 213
Las Vegas, NV 89128-0381

Phone

(702) 405-8088

NPI assigned

Jun 28, 2019

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 NV

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Health Solutions LLCGroup PAC ID 4385998954, 60 clinicians

Vitality UnlimitedGroup PAC ID 4688095078, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

80.29

Promoting interoperability

95

Improvement activities

40

Cost

61.08

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.bucalo.1@24259.direct.athenahealth.com

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.

• Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1548765258
  Medicare reassignment Care Compare group NPD
• Vitality Unlimited

  • Substance Abuse Rehabilitation Facility
  • Carson City, NV
  • NPI 1629540380
  Medicare reassignment Care Compare group NPD
• Vitality Unlimited

  • Community/Behavioral Health Agency
  • Dayton, NV
  • NPI 1255032249
  NPD
• Next Level Psychiatry Arizona PLLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1932703626
  NPD
• Vitality Unlimited

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1942071683
  NPD (past)

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1992367080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N BUFFALO DR UNIT 213",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280381",
            "telephone_number": "702-405-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N BUFFALO DR UNIT 213",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280381",
            "telephone_number": "702-405-8088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Town Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446308",
            "country_code": "US",
            "telephone_number": "702-475-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCALO",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "820127",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "820127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Buan, RN
• Bel Buban
• Hailey Buban
• Chard Denis Bubb, MD
• Avdo Bubic
• Mikayla Buccieri
• Jennifer Buchan
• Gabrielle T Buchana
• Anjelica Antonia Buchanan
• Courtney Buchanan

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.