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

Q: 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.

Q: What is Kelsey Kmiecik's specialty?

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

Q: 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 15 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.

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: August 16, 2026.

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

On this page

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.

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

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Other Names 1

Former Name (1)Kelsey L Stoller

Other Identifiers 2

Other000001174600IN · Anthem Ptan

Medicaid300013700IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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)

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.

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)