KELLEY L WORMMEESTER PA-C
NPI 1063061711
Physician Assistant - Medical in Indianapolis, IN

Active since September 05, 2019PECOS EnrolledAccepts Medicare Assignment
714 N SENATE AVE STE 100, INDIANAPOLIS, IN 46202(317) 715-6402(317) 715-6415 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 24, 2021, Sep 5, 2019 (2 updates tracked since 2019).

About Kelley L Wormmeester Pa-c NPPES

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

KELLEY L WORMMEESTER PA-C (NPI 1063061711) is an individual medical provider in Indianapolis, Indiana, licensed in Indiana (10002773A) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063061711
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLEY L WORMMEESTERCredential: PA-C
Location Address714 N SENATE AVE STE 100Indianapolis, IN 46202-3297
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(317) 715-6415
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 5, 2019
Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
NPI 1063061711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IN · 10002773A
714 N SENATE AVE STE 100, Indianapolis, IN 46202

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelley L Wormmeester Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325370471
PECOS Enrollment IDI20191023000879
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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kelley Wormmeester is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ESKENAZI HEALTH720 ESKENAZI AVENUE
INDIANAPOLIS, IN 46202
(317) 880-4818Acute Care Hospitals
INDIANA UNIVERSITY HEALTH1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
(317) 962-2000Acute Care Hospitals
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL2401 UNIVERSITY AVE
MUNCIE, IN 47303
(765) 747-3111Acute Care Hospitals

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Radiology Practitioner Assistant
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Radiologic Technologist
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Radiologic Technologist
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Radiology (Diagnostic Radiology)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Radiology (Diagnostic Radiology)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Physician Assistant
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Radiology (Vascular & Interventional Radiology)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Radiology (Vascular & Interventional Radiology)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Physician Assistant
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Radiology Practitioner Assistant
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063061711, enumerated as an "individual" on September 05, 2019.

The provider is located at 714 N SENATE AVE STE 100 INDIANAPOLIS, IN 46202 and the phone number is (317) 715-6402.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Kelley Wormmeester is affiliated with: ESKENAZI HEALTH, INDIANA UNIVERSITY HEALTH and INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL.