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KELLY NICOLE WILLETT
NPI 1780181214
Pediatrics in Indianapolis, IN

Active since April 11, 2018PECOS Enrolled
705 RILEY HOSPITAL DR RM 5867, INDIANAPOLIS, IN 46202(317) 944-4034 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 10, 2022, Jun 9, 2021, Apr 11, 2018 (3 updates tracked since 2018).

About Kelly Nicole Willett NPPES

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

KELLY NICOLE WILLETT (NPI 1780181214) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Florida (ME151374) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780181214
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLY NICOLE WILLETT
Location Address705 RILEY HOSPITAL DR RM 5867Indianapolis, IN 46202-5109
Mailing Address1212 E Bearss AveLutz, FL 33549-3525
Phone(317) 944-4034
Sole ProprietorNo
Enumeration DateApril 11, 2018
Last NPPES UpdateJanuary 10, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1780181214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME151374
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
705 RILEY HOSPITAL DR RM 5867, Indianapolis, IN 46202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Nicole Willett 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.

Medicare Billing Reassignment

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

Tampa Family Health Centers Inc
835 mi
Community Health
302 W FLETCHER AVE
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 145 clinicians in this Medicare group
NPI 1861535379 (813) 866-0930

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KARA BETH KOWALCZYK MD
Pediatrics
705 RILEY HOSPITAL DR RM 5867
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034
DR. LEAH DIANE STALNAKER MD
Pediatrics
705 RILEY HOSPITAL DR RM 5867
INDIANAPOLIS, IN 46202
Marion County (304) 941-7006
MR. ALEXANDER BANCROFT GEORGE MD
Internal Medicine
705 RILEY HOSPITAL DR RM 5867
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
LUJIA ZHANG
Hospitalist
705 RILEY HOSPITAL DR RM 5867
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
WADE MICHAEL BILLINGS MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5867
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
CORISSA E DIONISIO MD
Pediatrics
705 RILEY HOSPITAL DR RM 5867
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034
DR. REBECCA SCHNEIDER AGUIRRE MD/PHD
Pediatrics (Pediatric Endocrinology)
705 RILEY HOSPITAL DR RM 5867, INTERNAL MEDICINE AND PEDIATRICS RESIDENCY PROGRAM
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034
MARY JEANETTE STEELE MD
Pediatrics (Hospice and Palliative Medicine)
705 RILEY HOSPITAL DR RM 5867
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034

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 Willett's NPI number?

The NPI number for Kelly Willett is 1780181214. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Kelly Willett located?

Kelly Willett practices at 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202. The listed phone number is (317) 944-4034.

What is Kelly Willett's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelly Willett enrolled in Medicare?

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

Which organization bills Medicare for Kelly Willett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Willett reassigns Medicare benefits to Tampa Family Health Centers Inc (Tampa, FL). 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 Willett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Willett accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Kelly Willett 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 Willett was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.