Mrs Kylie Marie Ross, CPNP, MSN, RN in Indianapolis, IN

Mrs Kylie Marie Ross, CPNP, MSN, RN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Indianapolis, Indiana. Her current practice location is 3400 Lafayette Rd, Suite 200, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 291-7422.

Mrs Kylie Marie Ross is licensed to practice in Indiana (license number 71005720A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083081590.

Contact Information

	Mrs Kylie Marie Ross, CPNP, MSN, RN
	3400 Lafayette Rd, Suite 200, Indianapolis, IN 46222-1146
	(317) 291-7422
	(317) 291-4912

Map and Direction

Provider's Profile

Full Name	Mrs Kylie Marie Ross
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3400 Lafayette Rd, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083081590
Provider Enumeration Date: 09/01/2015
Last Update Date: 08/20/2019

Medicare PECOS Information:

PECOS PAC ID: 8527355411
Enrollment ID: I20160920002458

Medical Identifiers

Medical identifiers for Mrs Kylie Marie Ross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083081590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	71005720A (Indiana)	Primary

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. Mrs Kylie Marie Ross allows following entities to bill medicare on her behalf.

Entity Name	Trustees Of Purdue University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619055712 PECOS PAC ID: 2567373012 Enrollment ID: O20200821001390

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. Mrs Kylie Marie Ross 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
Mrs Kylie Marie Ross, CPNP, MSN, RN 3400 Lafayette Rd, Suite 200, Indianapolis, IN 46222-1146 Ph: (317) 291-7422	Mrs Kylie Marie Ross, CPNP, MSN, RN 3400 Lafayette Rd, Suite 200, Indianapolis, IN 46222-1146 Ph: (317) 291-7422

Reviews and Comments

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Mrs Kylie Marie Ross, CPNP, MSN, RN - Medicare Nurse Practitioner in Indianapolis, IN