SARAH GRACE KELLY NP
NPI 1255051660
Nurse Practitioner - Pediatrics in Indianapolis, IN

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
575 RILEY HOSPITAL DR # 1, INDIANAPOLIS, IN 46202(317) 944-8896 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2024, Dec 4, 2023, Aug 29, 2022 (3 updates tracked since 2022).

About Sarah Grace Kelly Np NPPES

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

SARAH GRACE KELLY NP (NPI 1255051660) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71014871A) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255051660
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSARAH GRACE KELLYCredential: NP
Location Address575 RILEY HOSPITAL DR # 1Indianapolis, IN 46202-5272
Mailing Address350 Monon Blvd Apt 261Carmel, IN 46032-2360
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 29, 2022
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1255051660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IN · 71014871A✔ Licensed in IN · 202325672
Also ListedRegistered NurseTaxonomy 163W00000X · License 28265847A (IN)
575 RILEY HOSPITAL DR # 1, Indianapolis, IN 46202

Secondary Practice Location 1

Location 1705 Riley Hospital DrIndianapolis, IN 46202-5109 · Phone (317) 944-8896 · Fax (317) 944-7481

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah Grace 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 ID5193169472
PECOS Enrollment IDI20240214002310
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sarah Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group

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

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.

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 Sarah Kelly's NPI number?

The NPI number for Sarah Kelly is 1255051660. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Sarah Kelly located?

Sarah Kelly practices at 575 Riley Hospital Dr # 1, Indianapolis, IN 46202. The listed phone number is (317) 944-8896.

What is Sarah Kelly's specialty?

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

Is Sarah Kelly enrolled in Medicare?

Yes. Sarah Kelly 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.

Which organizations bill Medicare for Sarah Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Kelly reassigns Medicare benefits to 2 organizations: Indiana University Health Care Associates, Inc (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each 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 Sarah Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Sarah Kelly 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 Sarah Kelly was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.