Active NPI
Kasey McCreery
- Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1083402317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 28203312A
- Practice address
- 1325 E Ohio St
Indianapolis, IN 46202-4184 - Phone
- (765) 438-9218
- NPI assigned
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28203312A | IN | Primary |
Addresses
Primary practice location
1325 E Ohio St
Indianapolis, IN 46202-4184
Mailing address
1325 E Ohio St
Indianapolis, IN 46202-4184
Phone (765) 438-9218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28203312A | Other | IN | NURSING BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28203312A | IN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1083402317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 E OHIO ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024184",
"telephone_number": "765-438-9218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 E OHIO ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024184",
"telephone_number": "765-438-9218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCREERY",
"first_name": "KASEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28203312A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING BOARD",
"identifier": "28203312A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.