Look up the most recent NPI and PECOS records

Kelley Tran Vu

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

901 W 38th St Ste 300, Austin, TX 78705-1166

PECOS Enrollment

This provider is enrolled in PECOS as KELLEY VU.

Based on the most recent information from CMS, provider Kelley Tran Vu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1588042162
Provider Type
Individual
Full Name
Vu, Kelley Tran
Title
Ms.
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
5/14/2015
Last Updated
8/10/2022

Contact Information

Practice Location

901 W 38th St Ste 300, Austin, TX 78705-1166

(512) 421-4100

(512) 419-0924

Mailing Location

PO Box 911230, Dallas, TX 75391-1230

(972) 997-8000

(972) 234-0813

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP127780 Texas

Provider Identifiers

ID	Description	Issuer
ID 361837302	Description Medicaid	Issuer Unlisted Texas

Kelley Tran Vu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cannizzaro, Jennifer

Wanstrom, Mary Katherine

O'Brien, Marcia Lea

Wise, Brenna Christine

Brown, Mary Warner

Russo, Amy Gauck

Hermsdorfer, Lindsay Rae

Groszewski, Emily Scirica

Guillory, Leslie Sledge

Torbic, Kristin Leann