HOLLY R. KELLY N.P.
NPI 1750630786
Nurse Practitioner in Plymouth, IN

Active since September 06, 2012
2855 MILLER DR STE 121B, PLYMOUTH, IN 46563(574) 522-0265(574) 406-0025 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holly R. Kelly N.p. NPPES

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

HOLLY R. KELLY N.P. (NPI 1750630786) is an individual nurse practitioner in Plymouth, Indiana, licensed in Indiana (71004121A) and active in the NPI registry since September 2012. She maintains a secondary practice location in Elkhart.

NPPES Registry Identity

NPI1750630786
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHOLLY R. KELLYCredential: N.P.
Location Address2855 MILLER DR STE 121BPlymouth, IN 46563-8091
Mailing Address211 N Eddy StSouth Bend, IN 46617-2808 · (574) 237-9231 · Fax (574) 204-6355
Fax(574) 406-0025
Sole ProprietorNo
Enumeration DateSeptember 6, 2012
Last NPPES UpdateMay 14, 2026
NPPES CertifiedMay 14, 2026
NPI 1750630786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71004121A
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2855 MILLER DR STE 121B, Plymouth, IN 46563

Other Names 1

Former Name (1)Holly R. Sucharetza

Secondary Practice Location 1

Location 1111 N Nappanee StElkhart, IN 46514-1957 · Phone (574) 522-0265 · Fax (574) 406-0025

Other Identifiers 1

Medicaid201092360IN

Accepted Insurance

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 Holly Kelly's NPI number?

The NPI number for Holly Kelly is 1750630786. It was assigned to this individual provider in the NPPES registry on September 6, 2012. The provider is also known as Holly R. Sucharetza.

Where is Holly Kelly located?

Holly Kelly practices at 2855 Miller Dr Ste 121B, Plymouth, IN 46563. The listed phone number is (574) 522-0265.

What is Holly Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Holly Kelly accept?

Health plans from CareSource list Holly Kelly 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 Holly Kelly was last updated on May 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.