CASSANDRA L. KELLAMS
NPI 1972334282
Nurse Practitioner - Family in Bloomington, IN

Active since August 08, 2024PECOS EnrolledAccepts Medicare Assignment
203 W 1ST ST, BLOOMINGTON, IN 47403(812) 668-1946(812) 287-8438 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cassandra L. Kellams NPPES

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

CASSANDRA L. KELLAMS (NPI 1972334282) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71016302A) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Baden Springs, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972334282
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCASSANDRA L. KELLAMS
Location Address203 W 1ST STBloomington, IN 47403-2504
Mailing Address10782 W Old Vincennes RdWest Baden Springs, IN 47469-9669 · (812) 508-1143
Fax(812) 287-8438
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 8, 2024
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1972334282 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 · 71016302A
203 W 1ST ST, Bloomington, IN 47403

Secondary Practice Location 1

Location 110782 W Old Vincennes RdWest Baden Springs, IN 47469-9669 · Phone (812) 508-1143

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

Cassandra L. Kellams 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 ID6305366295
PECOS Enrollment IDI20250221002945
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 47403 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.

Podiatrist (Foot & Ankle Surgery)
203 W 1ST ST
BLOOMINGTON, IN 47403
Podiatrist (Foot & Ankle Surgery)
203 W 1ST ST
BLOOMINGTON, IN 47403
Nurse Practitioner (Psychiatric/Mental Health)
203 W 1ST ST
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
203 W 1ST ST
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
203 W 1ST ST
BLOOMINGTON, IN 47403

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 Cassandra Kellams's NPI number?

The NPI number for Cassandra Kellams is 1972334282. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Cassandra Kellams located?

Cassandra Kellams practices at 203 W 1st St, Bloomington, IN 47403. The listed phone number is (812) 668-1946.

What is Cassandra Kellams's specialty?

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

Is Cassandra Kellams enrolled in Medicare?

Yes. Cassandra Kellams 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 Cassandra Kellams accept?

Health plans from CareSource list Cassandra Kellams 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 Cassandra Kellams was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.