DR. KELLY MARIE MILLER PSY.D.
NPI 1710322599
Psychologist in Indianapolis, IN

Active since May 07, 2013PECOS Enrolled
1400 E HANNA AVE, INDIANAPOLIS, IN 46227(317) 788-3437(317) 788-3371 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kelly Marie Miller Psy.d. NPPES

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

DR. KELLY MARIE MILLER PSY.D. (NPI 1710322599) is an individual psychologist in Indianapolis, Indiana, licensed in Indiana (20041941A) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1710322599
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KELLY MARIE MILLERCredential: PSY.D.
Location Address1400 E HANNA AVEIndianapolis, IN 46227-3630
Mailing Address1400 E Hanna AveIndianapolis, IN 46227-3630 · (317) 788-3437 · Fax (317) 788-3371
Fax(317) 788-3371
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMay 7, 2013
✔ NPI 1710322599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in IN · 20041941A
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1400 E HANNA AVE, Indianapolis, IN 46227

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Marie Miller Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274092325
PECOS Enrollment IDI20260828001088
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 Reassignment

Medicare enrollment records show Kelly Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 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.

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.

Specialist/Technologist (Athletic Trainer)
1400 E HANNA AVE
INDIANAPOLIS, IN 46227
Specialist/Technologist (Athletic Trainer)
1400 E HANNA AVE
INDIANAPOLIS, IN 46227
Student in an Organized Health Care Education/Training Program
1400 E HANNA AVE
INDIANAPOLIS, IN 46227
Specialist/Technologist (Athletic Trainer)
1400 E HANNA AVE
INDIANAPOLIS, IN 46227
Specialist/Technologist (Athletic Trainer)
1400 E HANNA AVE
INDIANAPOLIS, IN 46227
Specialist/Technologist (Athletic Trainer)
1400 E HANNA AVE
INDIANAPOLIS, IN 46227
Specialist/Technologist, Other (Orthopedic Assistant)
1400 E HANNA AVE
INDIANAPOLIS, IN 46227
Student in an Organized Health Care Education/Training Program
1400 E HANNA AVE
INDIANAPOLIS, IN 46227

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 Kelly Miller's NPI number?

The NPI number for Kelly Miller is 1710322599. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Kelly Miller located?

Kelly Miller practices at 1400 E Hanna Ave, Indianapolis, IN 46227. The listed phone number is (317) 788-3437.

What is Kelly Miller's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kelly Miller enrolled in Medicare?

Yes. Kelly Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Miller reassigns Medicare benefits to Iu Health Medical Group, LLC (Indianapolis, IN). The 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 Kelly Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Miller accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kelly Miller 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 Kelly Miller was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.