Kathleen Kelli Carroll, NP in Indianapolis, IN

Kathleen Kelli Carroll, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Indianapolis, Indiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Vincent Medical Group Inc and her current practice location is 8424 Naab Rd Ste 1l, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 338-7780.

Kathleen Kelli Carroll is licensed to practice in Indiana (license number 71007306A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811425382.

Contact Information

	Kathleen Kelli Carroll, NP
	8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954
	(317) 338-7780
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathleen Kelli Carroll
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	8424 Naab Rd Ste 1l, Indianapolis, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Kelli Carroll graduated from nursing school in 2017

NPI Data:

NPI Number: 1811425382
Provider Enumeration Date: 05/30/2017
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 8224300207
Enrollment ID: I20170825001944

Medical Identifiers

Medical identifiers for Kathleen Kelli Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811425382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	71007306A (Indiana)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	71007306A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent Hospital	Indianapolis, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Medical Group Inc	7012047640	626

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen Kelli Carroll allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Kelli Carroll is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kathleen Kelli Carroll, NP 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 Ph: () -	Kathleen Kelli Carroll, NP 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 Ph: (317) 338-7780

Reviews and Comments

Nurse Practitioner Nurses in Indianapolis, IN

Ms. Monica Silvia Oclander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 Phone: 317-221-3532 Fax: 317-221-3516
Tia Imhoff Mcgee, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-312-2204
Kathleen L Lampert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227 Phone: 317-497-2300
Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1545 N Meridian St, Indianapolis, IN 46202 Phone: 317-923-1491
Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617

Kathleen Kelli Carroll, NP - Medicare Nurse Practitioner in Indianapolis, IN