WILLIAM H KELLERMEYER NP
NPI 1043692460
Nurse Practitioner - Family in Indianapolis, IN

Active since June 22, 2015PECOS Enrolled
11020 PENDLETON PIKE, INDIANAPOLIS, IN 46236(317) 826-3903 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2020, May 8, 2017 (2 updates tracked since 2017).

About William H Kellermeyer Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM H KELLERMEYER NP (NPI 1043692460) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71005503A) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043692460
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWILLIAM H KELLERMEYERCredential: NP
Location Address11020 PENDLETON PIKEIndianapolis, IN 46236-2817
Mailing Address6626 E 75th St, Ste 500Indianapolis, IN 46250-2805
Sole ProprietorNo
Enumeration DateJune 22, 2015
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
NPI 1043692460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71005503A
11020 PENDLETON PIKE, Indianapolis, IN 46236

Other Identifiers 1

Medicaid201312310IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

William H Kellermeyer Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
11020 PENDLETON PIKE
INDIANAPOLIS, IN 46236
Nurse Practitioner (Family)
11020 PENDLETON PIKE
INDIANAPOLIS, IN 46236
Pharmacy
11020 PENDLETON PIKE
INDIANAPOLIS, IN 46236
Nurse Practitioner
11020 PENDLETON PIKE
INDIANAPOLIS, IN 46236
Nurse Practitioner (Family)
11020 PENDLETON PIKE
INDIANAPOLIS, IN 46236
Pharmacist
11020 PENDLETON PIKE
INDIANAPOLIS, IN 46236
Nurse Practitioner (Primary Care)
11020 PENDLETON PIKE
INDIANAPOLIS, IN 46236
Nurse Practitioner (Family)
11020 PENDLETON PIKE
INDIANAPOLIS, IN 46236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Kellermeyer's NPI number?

The NPI number for William Kellermeyer is 1043692460. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is William Kellermeyer located?

William Kellermeyer practices at 11020 Pendleton Pike, Indianapolis, IN 46236. The listed phone number is (317) 826-3903.

What is William Kellermeyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is William Kellermeyer enrolled in Medicare?

Yes. William Kellermeyer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Kellermeyer was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.