Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily L Koelsch, RN, CPNP-PC

Individual provider Pediatrics Physician · NPI 1114494002

Emily L Koelsch, RN, CPNP-PC is a Nurse Practitioner in Fayetteville, Arkansas. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Arkansas, California and Massachusetts.

Years since qualifying
11
Licensed in
AR, CA, MA
In the registry since
2018
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone: (781) 264-7754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 227343 (AR)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 95020554 (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN2303260 (MA)

Record details

NPI number1114494002
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CPNP-PC
Sole proprietorYes
NPI enumeratedOctober 29, 2018
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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