Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelli Emeline Ivy, APRN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1114673951

Mrs. Kelli Emeline Ivy, APRN, FNP-BC is a Nurse Practitioner in Tyler, Texas. Qualified in 2020, 6 years ago. Practices with Texas Oncology PA, a 1,005-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

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Practice location Address checks out

6115 New Copeland Rd Ste 640
Tyler, TX 75703-6368
Phone: (903) 420-3443
Fax: (903) 630-8797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3415 S Loop 256, Palestine, TX 75801-6981 — (903) 727-2200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1068869 (TX)

Record details

NPI number1114673951
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-BC
Sole proprietorNo
NPI enumeratedMarch 1, 2022
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Texas Oncology Pa — 1005 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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