MALLORY N MINYARD NP
NPI 1710712567
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Mallory Minyard's NPI number?

The NPI number for Mallory Minyard is 1710712567. It was assigned to this individual provider in the NPPES registry on September 3, 2024. The provider is also known as Mallory Kaelin.

Q: What is Mallory Minyard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Minyard was last updated on October 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 03, 2024PECOS EnrolledAccepts Medicare Assignment

550 UNIVERSITY BLVD # UH1501, INDIANAPOLIS, IN 46202(317) 948-1310(317) 948-0503 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2024, Sep 3, 2024 (2 updates tracked since 2024).

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About Mallory N Minyard Np NPPES

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

MALLORY N MINYARD NP (NPI 1710712567) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71015707A) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710712567

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMALLORY N MINYARDCredential: NP

Location Address550 UNIVERSITY BLVD # UH1501Indianapolis, IN 46202-5149

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 948-1310

Fax(317) 948-0503

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 3, 2024

Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration

NPPES CertifiedOctober 17, 2024

✔ NPI 1710712567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71015707A

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 71015707A (IN)

550 UNIVERSITY BLVD # UH1501, Indianapolis, IN 46202

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Other Names 1

Former Name (1)Mallory Kaelin

Other Identifiers 2

Medicaid300096243IN

Other1104361114IN · Anthem Ptan

Accepted Insurance

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

Mallory N Minyard Np 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 ID7012458003

PECOS Enrollment IDI20240918000374

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.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number150158

Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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 14

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

OLIVIA KAY BRADSHAW PA-C

Physician Assistant