KELLY A MANICKE NP
NPI 1508015439
Nurse Practitioner - Adult Health in Indianapolis, IN

Q: What is Kelly Manicke's NPI number?

The NPI number for Kelly Manicke is 1508015439. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Q: What is Kelly Manicke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Manicke was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 September 16, 2008PECOS Enrolled

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

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2018, Oct 14, 2016, Feb 23, 2016 and 1 more (4 updates tracked since 2016).

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About Kelly A Manicke Np NPPES

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

KELLY A MANICKE NP (NPI 1508015439) is an individual adult health provider in Indianapolis, Indiana, licensed in Indiana (71002746A) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508015439

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLY A MANICKECredential: NP

Location Address7250 CLEARVISTA DR STE 355Indianapolis, IN 46256-5609

Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2890

Phone(317) 621-5676

Sole ProprietorNo

Enumeration DateSeptember 16, 2008

Last NPPES UpdateApril 30, 20184 updates tracked since enumeration

✔ NPI 1508015439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IN · 71002746A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28164416 (IN)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71002746A (IN)

7250 CLEARVISTA DR STE 355, Indianapolis, IN 46256

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Other Identifiers 4

OtherP00774860IN · Railroad Medicare

Other000000622179IN · Anthem Provider Number

Medicaid200920210IN

OtherP01678952IN · Medicare Railroad Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly A Manicke Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Community Physicians Of Indiana Inc

1.0 mi

Family Medicine

7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256

Reassigned Medicare billing, Indiana enrollment
2,087 clinicians in this Medicare group

NPI 1619105244 (317) 355-5555

Arnett Clinic, LLC

53 mi

Internal Medicine

5165 MCCARTY LN
Lafayette, IN 47905

Reassigned Medicare billing, Indiana enrollment
671 clinicians in this Medicare group

NPI 1164490843 (765) 448-8000

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 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

$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 20

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

HANNAH HARTNETT PA

Physician Assistant