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KELSEY L KMIECIK NP
NPI 1790023372
Nurse Practitioner - Pediatrics in Indianapolis, IN

Active since January 16, 2013PECOS Enrolled
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-9981(317) 944-0282 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 19, 2022, Feb 5, 2021, Sep 11, 2017 (3 updates tracked since 2017).

About Kelsey L Kmiecik Np NPPES

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

KELSEY L KMIECIK NP (NPI 1790023372) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71007825A) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1790023372
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELSEY L KMIECIKCredential: NP
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 944-9981
Fax(317) 944-0282
Sole ProprietorNo
Enumeration DateJanuary 16, 2013
Last NPPES UpdateMay 1, 20253 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
✔ NPI 1790023372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IN · 71007825A✔ Licensed in IL · 209.010123
705 RILEY HOSPITAL DR, Indianapolis, IN 46202
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelsey L Stoller

Secondary Practice Location 1

Location 1225 E Chicago Ave, Box 57Chicago, IL 60611-2991 · Phone (312) 227-4030

Other Identifiers 2

Other000001174600IN · Anthem Ptan
Medicaid300013700IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey L Kmiecik 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelsey Kmiecik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Anesthesiology Associates-Pediatrics, LLC
Same address
Pediatric Anesthesiology
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 88 clinicians in this Medicare group
NPI 1083651335 (317) 274-0273
Indiana University Health Care Associates, Inc
0.9 mi
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1902032832 (317) 278-3505
Iu Health Medical Group, LLC
1.3 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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 20

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

MOHANNAD MOALLEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

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 Kelsey Kmiecik's NPI number?

The NPI number for Kelsey Kmiecik is 1790023372. It was assigned to this individual provider in the NPPES registry on January 16, 2013. The provider is also known as Kelsey L Stoller.

Where is Kelsey Kmiecik located?

Kelsey Kmiecik practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 944-9981.

What is Kelsey Kmiecik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelsey Kmiecik enrolled in Medicare?

Yes. Kelsey Kmiecik is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelsey Kmiecik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Kmiecik reassigns Medicare benefits to 3 organizations: Iu Anesthesiology Associates-Pediatrics, LLC (Indianapolis, IN), Indiana University Health Care Associates, 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 Kelsey Kmiecik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Kmiecik accept?

Health plans from CareSource and Cigna Healthcare list Kelsey Kmiecik 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 Kelsey Kmiecik was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.