Individual provider Active NPI

Kaylyn Alisha-Christina Brown, PA-C

  • Medical Physician Assistant
  • Fishers, IN
National Provider Identifier
1023816048
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10004860A Issued in IN
Practice address
11700 Olio Rd
Fishers, IN 46037-7618
Phone
(800) 852-0232
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004860A IN
Medical Physician Assistant 363AM0700X 10004860A IN Primary

Addresses

Primary practice location

11700 Olio Rd
Fishers, IN 46037-7618

Mailing address

PO Box 932958
Cleveland, OH 44193-0028
Phone (800) 852-0232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630002631 IN Practitioner - Physician Assistant 5991218331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians

Practice addresses (Care Compare)

1175 S College Mall Rd
Bloomington, IN 47401-6177
Phone (812) 323-4301

1330 W Southport Rd
Indianapolis, IN 46217-5301
Phone (317) 884-4256

150 W 161St St
Westfield, IN 46074-8565
Phone (317) 896-5405

5350 E Thompson Rd
Indianapolis, IN 46237-2059
Phone (317) 396-0814

815 Highlander Point Dr
Floyds Knobs, IN 47119-9470
Phone (812) 923-7146

970 N Morton St
Franklin, IN 46131-1373
Phone (317) 494-4320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: kaylyn.brown@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1023816048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "800-852-0232",
            "fax_number": "615-424-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377618",
            "telephone_number": "800-852-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KAYLYN",
        "middle_name": "ALISHA-CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004860A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10004860A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.