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KELLI JO SGRO
NPI 1457222697
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Active since September 12, 2025PECOS EnrolledAccepts Medicare Assignment
1660 N ILLINOIS ST, INDIANAPOLIS, IN 46202(317) 880-2900 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2025, Sep 12, 2025 (2 updates tracked since 2025).

About Kelli Jo Sgro NPPES

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

KELLI JO SGRO (NPI 1457222697) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71017127A) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1457222697
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLI JO SGRO
Location Address1660 N ILLINOIS STIndianapolis, IN 46202-0059
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939 · Fax (317) 880-0343
Phone(317) 880-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 12, 2025
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1457222697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71017127A
1660 N ILLINOIS ST, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1720 Eskenazi AveIndianapolis, IN 46202-5187 · Phone (317) 880-0000

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

Kelli Jo Sgro 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 ID1850885724
PECOS Enrollment IDI20251209003153
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.

Hospital Affiliations CMS Care Compare

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

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.

Other Providers at the Same Location NPPES 4

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

PAULINE SMITH NP
Nurse Practitioner
1660 N ILLINOIS ST
INDIANAPOLIS, IN 46202
Marion County (317) 880-2799
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
1660 N ILLINOIS ST
INDIANAPOLIS, IN 46202
Marion County (317) 554-5700
DR. ADEEL ANSARI M.D.
Psychiatry & Neurology (Psychiatry)
1660 N ILLINOIS ST
INDIANAPOLIS, IN 46202
Marion County (317) 880-2900
MR. JAMES DANIEL POLLOM PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1660 N ILLINOIS ST
INDIANAPOLIS, IN 46202
Marion County (317) 880-2900

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 Kelli Sgro's NPI number?

The NPI number for Kelli Sgro is 1457222697. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Kelli Sgro located?

Kelli Sgro practices at 1660 N Illinois St, Indianapolis, IN 46202. The listed phone number is (317) 880-2900.

What is Kelli Sgro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelli Sgro enrolled in Medicare?

Yes. Kelli Sgro 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.

Is Kelli Sgro affiliated with any hospitals?

According to CMS data, Kelli Sgro is affiliated with Eskenazi Health.

When was this NPI record last updated?

The NPPES record for Kelli Sgro was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.