KELLY J. EDSALL NP
NPI 1780178616
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Q: What is Kelly Edsall's NPI number?

The NPI number for Kelly Edsall is 1780178616. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Q: What is Kelly Edsall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Edsall was last updated on November 27, 2023. 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.

Active since June 14, 2018PECOS Enrolled

7250 CLEARVISTA DR STE 260, INDIANAPOLIS, IN 46256(317) 621-1695(317) 621-1699 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2020, Nov 6, 2019, Jan 17, 2019 and 2 more (5 updates tracked since 2018).

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About Kelly J. Edsall Np NPPES

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

KELLY J. EDSALL NP (NPI 1780178616) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71008649A) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780178616

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY J. EDSALLCredential: NP

Location Address7250 CLEARVISTA DR STE 260Indianapolis, IN 46256-4686

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7588

Phone(317) 621-1695

Fax(317) 621-1699

Sole ProprietorNo

Enumeration DateJune 14, 2018

Last NPPES UpdateNovember 27, 20235 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2020

✔ NPI 1780178616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71008649A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28189674A (IN)

7250 CLEARVISTA DR STE 260, Indianapolis, IN 46256

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Other Identifiers 1

Medicaid300021436IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly J. Edsall Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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 7

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

VICKI L MRAVCA-WILKEY NP

Nurse Practitioner