Individual provider Active NPI

Kelly Pollard, AGACNP

  • Acute Care Nurse Practitioner
  • Portage, IN
National Provider Identifier
1033904396
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71016393A Issued in IN
Practice address
3156 Willowcreek Rd
Portage, IN 46368-4424
Phone
(219) 762-9444
Fax
(219) 762-2288
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71016393A IN
Acute Care Nurse Practitioner 363LA2100X 71016393A IN Primary

Addresses

Primary practice location

3156 Willowcreek Rd
Portage, IN 46368-4424

Mailing address

213 Fairchild Dr
Burns Harbor, IN 46304-9227
Phone (219) 331-4734

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
I20250503000060 IN Practitioner - Nurse Practitioner 6305363342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

600 Grant St
Gary, IN 46402-6001
Phone (219) 381-0215

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-4926

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71016393AINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Apr 5, 2026 Accepting new patients
Inpatient Physician Group LLC CurrentSince Apr 1, 2025 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
The Methodist Hospitals, Inc CurrentSince May 1, 2025 Accepting new patients
The Methodist Hospitals, Inc CurrentSince May 1, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Apr 5, 2026 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

12750 Saint Francis Dr
Ste 320
Crown Point, IN 46307
Phone (219) 662-0077

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

8777 Broadway
Ste B
Merrillville, IN 46410
Phone (219) 738-5316

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

3156 Willowcreek Rd
Portage, IN 46368
Phone (219) 762-4999

2700 Valparaiso St
Ste 1663
Valparaiso, IN 46383

Interoperability endpoints

  • Direct secure messaging: kelly.pollard.1@7420.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1033904396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 FAIRCHILD DR",
            "city": "BURNS HARBOR",
            "state": "IN",
            "postal_code": "463049227",
            "telephone_number": "219-331-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684424",
            "telephone_number": "219-762-9444",
            "fax_number": "219-762-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "KELLY",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016393A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71016393A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

Verify at the official NPI Registry.