DR. KEITH NALLEY D.O.
NPI 1609913730
Family Medicine in Michigan City, IN
About Dr. Keith Nalley D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEITH NALLEY D.O. (NPI 1609913730) is an individual family medicine provider in Michigan City, Indiana, licensed in Indiana (02002091A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1997).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Dr. Keith Nalley D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Keith Nalley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 607 clinicians in this Medicare group
Mishawaka, IN 46544
- Reassigned Medicare billing, Indiana enrollment
- 1,396 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46360 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MICHIGAN CITY, IN 46360
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 Keith Nalley's NPI number?
The NPI number for Keith Nalley is 1609913730. It was assigned to this individual provider in the NPPES registry on January 30, 2007.
Where is Keith Nalley located?
Keith Nalley practices at 4111 Franklin St, Michigan City, IN 46360. The listed phone number is (219) 873-2919.
What is Keith Nalley's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Keith Nalley enrolled in Medicare?
Yes. Keith Nalley 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 Keith Nalley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Nalley reassigns Medicare benefits to 2 organizations: Community Care Network Inc (St John, IN) and Franciscan Physician Network (Mishawaka, 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 Keith Nalley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Nalley accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Keith Nalley 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 Keith Nalley was last updated on November 20, 2023. 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.
# Dr. Keith Nalley, D.O. · NPI 1609913730
Family Medicine physician in Michigan City, Indiana. Individual provider, active in the CMS NPPES registry since January 30, 2007.
## Identity
- **NPI:** 1609913730 (Entity type: Individual)
- **Enumerated:** January 30, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 02002091A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4111 FRANKLIN ST, Michigan City, IN 46360-7803
- **Phone:** (219) 873-2919 · **Fax:** (219) 873-2909
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Care Network Inc (NPI 1457610487, St John, IN); Franciscan Physician Network (NPI 1366879009, Mishawaka, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 1997
## Record status
- **NPPES last updated:** November 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609913730) · Data from the CMS NPPES public registry.