KELLEY ELAINE METCALFE NP-C
NPI 1639830177
Internal Medicine in Richmond, IN

Active since January 06, 2022PECOS EnrolledAccepts Medicare Assignment
795 SIM HODGIN PKWY, RICHMOND, IN 47374(765) 966-5949(765) 962-6268 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2022, Jan 28, 2022, Jan 6, 2022 (3 updates tracked since 2022).

About Kelley Elaine Metcalfe Np-c NPPES

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

KELLEY ELAINE METCALFE NP-C (NPI 1639830177) is an individual internal medicine provider in Richmond, Indiana, licensed in Indiana (71012019A) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639830177
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKELLEY ELAINE METCALFECredential: NP-C
Location Address795 SIM HODGIN PKWYRichmond, IN 47374-1928
Mailing Address1100 Reid Parkway, Medical Staff ServicesRichmond, IN 47374 · (765) 935-8802
Fax(765) 962-6268
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 6, 2022
Last NPPES UpdateApril 7, 20223 updates tracked since enumeration
NPPES CertifiedMarch 28, 2022
NPI 1639830177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IN · 71012019A Licensed in OH · APRN.CNP.0030437
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN.CNP.0030437 (OH)
795 SIM HODGIN PKWY, Richmond, IN 47374

Accepted 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 Elaine Metcalfe Np-c 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 ID1557754876
PECOS Enrollment IDI20220329002451
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
429 services87 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
165 services71 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
33 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47374 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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 6

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

Family Medicine
795 SIM HODGIN PKWY, REID HEALTH RESIDENCY CLINIC
RICHMOND, IN 47374
Family Medicine
795 SIM HODGIN PKWY
RICHMOND, IN 47374
Family Medicine
795 SIM HODGIN PKWY
RICHMOND, IN 47374
Family Medicine
795 SIM HODGIN PKWY
RICHMOND, IN 47374
Student in an Organized Health Care Education/Training Program
795 SIM HODGIN PKWY
RICHMOND, IN 47374
Family Medicine
795 SIM HODGIN PKWY
RICHMOND, IN 47374

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 Kelley Metcalfe's NPI number?

The NPI number for Kelley Metcalfe is 1639830177. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Kelley Metcalfe located?

Kelley Metcalfe practices at 795 Sim Hodgin Pkwy, Richmond, IN 47374. The listed phone number is (765) 966-5949.

What is Kelley Metcalfe's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelley Metcalfe enrolled in Medicare?

Yes. Kelley Metcalfe 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.

What insurance does Kelley Metcalfe accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kelley Metcalfe 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 Kelley Metcalfe affiliated with any hospitals?

According to CMS data, Kelley Metcalfe is affiliated with Reid Health.

When was this NPI record last updated?

The NPPES record for Kelley Metcalfe was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.