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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: August 16, 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
Phone(317) 715-6402
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 16

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

JOSHUA MCALISTER
Radiology Practitioner Assistant
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 472-4565
RONIN ST JAMES NP
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 963-0166
KATHARINE ELIZABETH WALLS NP
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 963-0166
DR. DAVID M AGARWAL M.D.
Radiology (Vascular & Interventional Radiology)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 312-9992
KYLE D MORFORD RRA
Radiologic Technologist
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 963-0156
NICHOLAS E TOWNSEND PA-C
Physician Assistant
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 944-1801
DR. PAUL JOSEPH NIZIOLEK M.D., PH.D.
Radiology (Diagnostic Radiology)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 963-0156
SALLY H GOODIN NP
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 944-4831

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 Kelley Wormmeester's NPI number?

The NPI number for Kelley Wormmeester is 1063061711. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Kelley Wormmeester located?

Kelley Wormmeester practices at 714 N Senate Ave Ste 100, Indianapolis, IN 46202. The listed phone number is (317) 715-6402.

What is Kelley Wormmeester's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelley Wormmeester enrolled in Medicare?

Yes. Kelley Wormmeester is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelley Wormmeester accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Kelley Wormmeester as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelley Wormmeester affiliated with any hospitals?

According to CMS data, Kelley Wormmeester is affiliated with Eskenazi Health, Indiana University Health and Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelley Wormmeester was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.