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TYLER P KELLY NP
NPI 1962818864
Nurse Practitioner - Family in Avon, IN

Active since July 11, 2014PECOS EnrolledAccepts Medicare Assignment
120 AVON MARKET PL STE 100, AVON, IN 46123(317) 396-1300 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Feb 28, 2022, Dec 29, 2016 (3 updates tracked since 2016).

About Tyler P Kelly Np NPPES

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

TYLER P KELLY NP (NPI 1962818864) is an individual family provider in Avon, Indiana, licensed in Indiana (71005109A) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962818864
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTYLER P KELLYCredential: NP
Location Address120 AVON MARKET PL STE 100Avon, IN 46123-6021
Mailing Address13345 Illinois StCarmel, IN 46032-3318 · (317) 396-1300
Phone(317) 396-1300
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 11, 2014
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1962818864 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 · 71005109A
120 AVON MARKET PL STE 100, Avon, IN 46123
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1555 E County Line Rd Ste 202Greenwood, IN 46143-1063 · Phone (317) 396-1300
Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 962-6793

Other Identifiers 4

Other71005109AIN · Apn Prescriptive Authority
Other71005109BIN · Csr Prescriptive Authority
Other28189341AIN · Rn License
Medicaid201252820IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Tyler P Kelly Np 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 ID4183845258
PECOS Enrollment IDI20141015001430
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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 5

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

DR. CHRISTOPHER M DORAN MD
Anesthesiology (Pain Medicine)
120 AVON MARKET PL STE 100
AVON, IN 46123
Hendricks County (317) 396-1300
DANIELLE PFEFFER FNP
Nurse Practitioner (Family)
120 AVON MARKET PL STE 100
AVON, IN 46123
Hendricks County (317) 396-1300
PAUL SAMUEL PAGE M.D.
Neurological Surgery
120 AVON MARKET PL STE 100
AVON, IN 46123
Hendricks County (317) 396-1300
DR. MIRACLE CHIOMIMI ANOKWUTE MD
Neurological Surgery
120 AVON MARKET PL STE 100
AVON, IN 46123
Hendricks County (317) 396-1300
BRENA LEE INGERSOL NP
Nurse Practitioner (Primary Care)
120 AVON MARKET PL STE 100
AVON, IN 46123
Hendricks County (317) 396-1300

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 Tyler Kelly's NPI number?

The NPI number for Tyler Kelly is 1962818864. It was assigned to this individual provider in the NPPES registry on July 11, 2014.

Where is Tyler Kelly located?

Tyler Kelly practices at 120 Avon Market Pl Ste 100, Avon, IN 46123. The listed phone number is (317) 396-1300.

What is Tyler Kelly's specialty?

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

Is Tyler Kelly enrolled in Medicare?

Yes. Tyler 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 Tyler Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Tyler 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.

Is Tyler Kelly affiliated with any hospitals?

According to CMS data, Tyler Kelly is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Tyler Kelly was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.