Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellie Diane Koehly

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174333298

Ellie Diane Koehly is a Nurse Practitioner in Dickson, Tennessee. Qualified in 2025, 1 year ago. Practices with Psychiatric Care and Consulting LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

812 N Charlotte St
Dickson, TN 37055-1009
Phone: (660) 651-4387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 39701 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 281590 (TN)

Record details

NPI number1174333298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Psychiatric Care And Consulting Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dickson