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KELLY HULTMAN M.S. CCC-SLP
NPI 1205108065
Speech-Language Pathologist in Indianapolis, IN

Active since February 08, 2012
4740 KINGSWAY DR STE 33, INDIANAPOLIS, IN 46205(317) 828-0211(888) 887-0932 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2023, Sep 15, 2022, Jan 18, 2022 and 2 more (5 updates tracked since 2020).

About Kelly Hultman M.s. Ccc-slp NPPES

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

KELLY HULTMAN M.S. CCC-SLP (NPI 1205108065) is an individual speech-language pathologist provider in Indianapolis, Indiana, licensed in Indiana (22005295A) and active in the NPI registry since February 2012. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1205108065
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY HULTMANCredential: M.S. CCC-SLP
Location Address4740 KINGSWAY DR STE 33Indianapolis, IN 46205-1521
Mailing Address4740 Kingsway Dr Ste 33Indianapolis, IN 46205-1521 · (317) 828-0211 · Fax (888) 887-0932
Phone(317) 828-0211
Fax(888) 887-0932
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 8, 2012
Last NPPES UpdateMarch 22, 20235 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1205108065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IN · 22005295A
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4740 KINGSWAY DR STE 33, Indianapolis, IN 46205
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Hultman M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739648940
PECOS Enrollment IDI20260827005161

Medicare Billing Reassignment

Medicare enrollment records show Kelly Hultman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hear Indiana, Inc.
Same address
Audiologist
4740 KINGSWAY DR, SUITE 33
Indianapolis, IN 46205
  • Reassigned Medicare billing, Indiana enrollment
  • 5 clinicians in this Medicare group
NPI 1538569033 (317) 828-0211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

DR. MELISSA S. ALDANA HERMANN AU.D.
Audiologist
4740 KINGSWAY DR STE 33
INDIANAPOLIS, IN 46205
Marion County (317) 828-0211
MRS. NAOMI SABRINA HORTON MS, CCC-SLP
Speech-Language Pathologist
4740 KINGSWAY DR STE 33
INDIANAPOLIS, IN 46205
Marion County (317) 828-0211
KALEIGH RENEE CALISTO
Speech-Language Pathologist
4740 KINGSWAY DR STE 33
INDIANAPOLIS, IN 46205
Marion County (317) 828-0211
ELLYN M MCCALL
Developmental Therapist
4740 KINGSWAY DR STE 33
INDIANAPOLIS, IN 46205
Marion County (727) 512-2558
MRS. DANA RAE FEINER
Developmental Therapist
4740 KINGSWAY DR STE 33
INDIANAPOLIS, IN 46205
Marion County (810) 459-1157
KAYCIE VB KING CCC-SLP
Speech-Language Pathologist
4740 KINGSWAY DR STE 33
INDIANAPOLIS, IN 46205
Marion County (317) 828-0211

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 Kelly Hultman's NPI number?

The NPI number for Kelly Hultman is 1205108065. It was assigned to this individual provider in the NPPES registry on February 8, 2012.

Where is Kelly Hultman located?

Kelly Hultman practices at 4740 Kingsway Dr Ste 33, Indianapolis, IN 46205. The listed phone number is (317) 828-0211.

What is Kelly Hultman's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kelly Hultman enrolled in Medicare?

Yes. Kelly Hultman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Hultman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hultman reassigns Medicare benefits to Hear Indiana, Inc. (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Hultman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Hultman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kelly Hultman 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.

When was this NPI record last updated?

The NPPES record for Kelly Hultman was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.