JESSE KEITH KELLEY MD
NPI 1295364388
Surgery in Carmel, IN
About Jesse Keith Kelley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE KEITH KELLEY MD (NPI 1295364388) is an individual surgery provider in Carmel, Indiana, licensed in Indiana (01099214A) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Carmel.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jesse Keith Kelley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jesse Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CARMEL, IN 46032
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 Jesse Kelley's NPI number?
The NPI number for Jesse Kelley is 1295364388. It was assigned to this individual provider in the NPPES registry on April 2, 2020.
Where is Jesse Kelley located?
Jesse Kelley practices at 11725 Illinois St, Carmel, IN 46032. The listed phone number is (317) 688-4864.
What is Jesse Kelley's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jesse Kelley enrolled in Medicare?
Yes. Jesse Kelley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jesse Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Kelley reassigns Medicare benefits to Iu Health Medical Group, LLC (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 Jesse Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesse Kelley accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jesse Kelley 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 Jesse Kelley affiliated with any hospitals?
According to CMS data, Jesse Kelley is affiliated with Spectrum Health.
When was this NPI record last updated?
The NPPES record for Jesse Kelley was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Jesse Keith Kelley, MD · NPI 1295364388
Surgery physician in Carmel, Indiana. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1295364388 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 01099214A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 11725 ILLINOIS ST, Carmel, IN 46032-3008
- **Phone:** (317) 688-4864
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2020
## Record status
- **NPPES last updated:** August 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295364388) · Data from the CMS NPPES public registry.