NICHOLAS KELLY FNP-BC
NPI 1881382661
Nurse Practitioner - Family in Indianapolis, IN

Active since April 28, 2023PECOS EnrolledAccepts Medicare Assignment
1311 W 96TH ST STE 110, INDIANAPOLIS, IN 46260(317) 217-9967 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Kelly Fnp-bc NPPES

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

NICHOLAS KELLY FNP-BC (NPI 1881382661) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71013861A) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jeffersonville, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881382661
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLAS KELLYCredential: FNP-BC
Location Address1311 W 96TH ST STE 110Indianapolis, IN 46260-1172
Mailing Address3843 Meadow Side CtZionsville, IN 46077-7810 · (317) 217-9967
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 28, 2023
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
NPI 1881382661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71013861A
1311 W 96TH ST STE 110, Indianapolis, IN 46260

Secondary Practice Location 1

Location 11701 Spring St Ste BJeffersonville, IN 47130-2930 · Phone (812) 284-2273

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicholas Kelly Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345699781
PECOS Enrollment IDI20231212000149
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 46260 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 13

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

Nurse Practitioner (Psychiatric/Mental Health)
1311 W 96TH ST STE 110
INDIANAPOLIS, IN 46260
Case Management
1311 W 96TH ST STE 110
INDIANAPOLIS, IN 46260
Nurse Practitioner (Psychiatric/Mental Health)
1311 W 96TH ST STE 110
INDIANAPOLIS, IN 46260
Psychiatry & Neurology (Psychiatry)
1311 W 96TH ST STE 110
INDIANAPOLIS, IN 46260
Nurse Practitioner (Psychiatric/Mental Health)
1311 W 96TH ST STE 110
INDIANAPOLIS, IN 46260
Counselor (Mental Health)
1311 W 96TH ST STE 110
INDIANAPOLIS, IN 46260
Social Worker (Clinical)
1311 W 96TH ST STE 110
INDIANAPOLIS, IN 46260
Nurse Practitioner (Psychiatric/Mental Health)
1311 W 96TH ST STE 110
INDIANAPOLIS, IN 46260

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 Nicholas Kelly's NPI number?

The NPI number for Nicholas Kelly is 1881382661. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Where is Nicholas Kelly located?

Nicholas Kelly practices at 1311 W 96th St Ste 110, Indianapolis, IN 46260. The listed phone number is (317) 217-9967.

What is Nicholas Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicholas Kelly enrolled in Medicare?

Yes. Nicholas Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Nicholas 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 Nicholas Kelly was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.