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

Ellison Kaehr, PMH-NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1366132219

Ellison Kaehr, PMH-NP is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2022, 4 years ago. Practices with Ketchikan Indian Corporation, a 15-clinician group and accepts Medicare assignment. Licensed in Arizona and New Mexico.

Years since qualifying
4
Licensed in
AZ, NM
In the registry since
2023
Specialties on file
2

Practice location Address checks out

801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone: (505) 248-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 75704 (NM)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence TMEP291314 (AZ)

Record details

NPI number1366132219
Entity typeIndividual (Type 1)
GenderMale
Credentials PMH-NP
Sole proprietorNo
NPI enumeratedMay 12, 2023
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ketchikan Indian Corporation — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque