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

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: October 18, 2026.

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

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
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

Other Names 1

Former Name (1)Mallory Kaelin

Other Identifiers 2

Medicaid300096243IN
Other1104361114IN · Anthem Ptan

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

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.

Medicare Billing Reassignments

2

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

Family Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 737 clinicians in this Medicare group
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.

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 15

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

Internal Medicine
550 UNIVERSITY BLVD # UH1501
INDIANAPOLIS, IN 46202
Internal Medicine
550 UNIVERSITY BLVD # UH1501
INDIANAPOLIS, IN 46202
Physician Assistant
550 UNIVERSITY BLVD # UH1501
INDIANAPOLIS, IN 46202
Physician Assistant
550 UNIVERSITY BLVD # UH1501
INDIANAPOLIS, IN 46202
Internal Medicine
550 UNIVERSITY BLVD # UH1501
INDIANAPOLIS, IN 46202
Internal Medicine
550 UNIVERSITY BLVD # UH1501
INDIANAPOLIS, IN 46202
Internal Medicine
550 UNIVERSITY BLVD # UH1501
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
550 UNIVERSITY BLVD # UH1501
INDIANAPOLIS, IN 46202

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 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.

Where is Mallory Minyard located?

Mallory Minyard practices at 550 University Blvd # Uh1501, Indianapolis, IN 46202. The listed phone number is (317) 948-1310.

What is Mallory Minyard's specialty?

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

Is Mallory Minyard enrolled in Medicare?

Yes. Mallory Minyard 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 Mallory Minyard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Minyard reassigns Medicare benefits to 2 organizations: University Family Physicians, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, 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 Mallory Minyard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Minyard accept?

Health plans from CareSource, Cigna Healthcare and UnitedHealthcare list Mallory Minyard 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 Mallory Minyard affiliated with any hospitals?

According to CMS data, Mallory Minyard is affiliated with Indiana University Health and Iu Health West Hospital.

When was this NPI record last updated?

The NPPES record for Mallory Minyard was last updated on October 17, 2024. 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.