MADELYNN KIESLE PNP
NPI 1073345104
Nurse Practitioner - Pediatrics in Indianapolis, IN

Q: What is Madelynn Kiesle's NPI number?

The NPI number for Madelynn Kiesle is 1073345104. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Q: What is Madelynn Kiesle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Madelynn Kiesle was last updated on November 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2024PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 948-7185(317) 944-7267 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2025, Aug 5, 2025, May 19, 2025 and 1 more (4 updates tracked since 2024).

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About Madelynn Kiesle Pnp NPPES

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

MADELYNN KIESLE PNP (NPI 1073345104) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71016662A) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073345104

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMADELYNN KIESLECredential: PNP

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 778912Chicago, IL 60677-8912 · (317) 777-6435

Phone(317) 948-7185

Fax(317) 944-7267

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 16, 2024

Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1073345104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IN · 71016662A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28267361A (IN)

Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 28267361C (IN), 71016662A (IN)

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Madelynn Kiesle Pnp 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 ID9436641800

PECOS Enrollment IDI20251124000208

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 46202 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.

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Other Providers at the Same Location NPPES 20

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

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)