Kelli Ivy is one of 637 nurse practitioners practicing in Tyler, Texas .
Kelli Ivy practices with Texas Oncology PA and Vitality Mobile Wound Care LLC.
Registry record (NPPES)
NPI
1114673951
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
6115 New Copeland Rd Ste 640
Enumerated
Mar 1, 2022
Record last updated
May 20, 2026
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
6115 New Copeland Rd Suite 640Tyler , TX 75703
4370 Medical Arts Dr Suite 100Flower Mound , TX 75028
More nurse practitioners in Tyler
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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