KELLEY C SUMMERS PA
NPI 1477043495
Physician Assistant in Indianapolis, IN

Q: What is Kelley Summers's NPI number?

The NPI number for Kelley Summers is 1477043495. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Q: What is Kelley Summers's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Summers was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment

7250 CLEARVISTA DR STE 355, INDIANAPOLIS, IN 46256(317) 621-5676(317) 621-5678 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2018, Jul 24, 2018, May 15, 2018 (3 updates tracked since 2018).

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About Kelley C Summers Pa NPPES

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

KELLEY C SUMMERS PA (NPI 1477043495) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10002484A) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477043495

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLEY C SUMMERSCredential: PA

Location Address7250 CLEARVISTA DR STE 355Indianapolis, IN 46256

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7588 · Fax (317) 957-2749

Phone(317) 621-5676

Fax(317) 621-5678

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 15, 2018

Last NPPES UpdateOctober 31, 20183 updates tracked since enumeration

✔ NPI 1477043495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10002484A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7250 CLEARVISTA DR STE 355, Indianapolis, IN 46256

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Other Identifiers 2

Medicaid300016659IN

OtherP02085726IN · Raidroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Kelley C Summers Pa 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 ID3274881305

PECOS Enrollment IDI20180807001942

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 2

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150074

Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County

Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150113

Location1515 N Madison AveAnderson, IN 46011 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 20

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

HANNAH HARTNETT PA

Physician Assistant