KESHA RAE KELLY NP
NPI 1205094000
Nurse Practitioner - Women's Health in Indianapolis, IN

Q: What is Kesha Kelly's NPI number?

The NPI number for Kesha Kelly is 1205094000. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Q: What is Kesha Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kesha Kelly was last updated on September 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 28, 2008PECOS EnrolledAccepts Medicare Assignment

8091 TOWNSHIP LINE RD STE 206, INDIANAPOLIS, IN 46260(317) 415-1000(317) 415-1010 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2024, May 5, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

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About Kesha Rae Kelly Np NPPES

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

KESHA RAE KELLY NP (NPI 1205094000) is an individual women's health provider in Indianapolis, Indiana, licensed in Indiana (71001948A) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1205094000

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKESHA RAE KELLYCredential: NP

Location Address8091 TOWNSHIP LINE RD STE 206Indianapolis, IN 46260-2495

Mailing Address8091 Township Line Rd Ste 206Indianapolis, IN 46260-2495 · (317) 415-1000 · Fax (317) 415-1010

Phone(317) 415-1000

Fax(317) 415-1010

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 28, 2008

Last NPPES UpdateSeptember 6, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1205094000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in IN · 71001948A

Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 71001948A (IN)

8091 TOWNSHIP LINE RD STE 206, Indianapolis, IN 46260

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Other Identifiers 1

Medicaid200540450IN

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

Kesha Rae Kelly Np 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 ID446280903

PECOS Enrollment IDI20050816000183

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

49 services49 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

26 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services15 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150084

Location2001 W 86th StIndianapolis, IN 46260 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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 13

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

DEBORAH A. RONCO M.D.

Obstetrics & Gynecology