MEREDITH SUSANNE KELLY NPI 1295200574

NPI Information

  • NPI: 1295200574
  • Provider Name: MEREDITH SUSANNE KELLY
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5256 E 65TH ST
    INDIANAPOLIS, IN
    ZIP 46220
  • Phone: (317) 429-0120

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NPI Details

Meredith Susanne Kelly is a primary care nurse practitioner in Indianapolis, IN. Meredith Susanne Kelly NPI is 1295200574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5256 E 65TH ST
INDIANAPOLIS, IN
ZIP 46220-819
Phone: (317) 429-0120
Fax: (866) 202-5499

The NPI 1295200574 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)

The enumeration date for this NPI number is 10/12/2018 and was last updated on 7/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71008472AINDIANANo
2363LP2300XNurse PractitionerPrimary Care71008472AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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