TYLER P KELLY NP
NPI 1962818864
Nurse Practitioner - Family in Avon, IN
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Tyler Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 279 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, INPhysician 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.
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.
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.
Which organizations bill Medicare for Tyler Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Kelly reassigns Medicare benefits to 2 organizations: Indiana University Radiology 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 Tyler Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Kelly accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer 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 21 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.
# Tyler P Kelly, NP · NPI 1962818864
Family physician in Avon, Indiana. Individual provider, active in the CMS NPPES registry since July 11, 2014.
## Identity
- **NPI:** 1962818864 (Entity type: Individual)
- **Enumerated:** July 11, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71005109A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 AVON MARKET PL STE 100, Avon, IN 46123-6021
- **Phone:** (317) 396-1300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Indiana University Radiology Associates, Inc. (NPI 1336192665, Indianapolis, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 7, 2025
- **Other identifiers:** Other 71005109A (IN); Other 71005109B (IN); Other 28189341A (IN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1962818864) · Data from the CMS NPPES public registry.