Individual provider Active NPI

S. Alexander Kemery, PHD, RN

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1114632841
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014776A Issued in IN
Practice address
26 N Arsenal Ave
Indianapolis, IN 46201-3808
Phone
(317) 632-0123
NPI assigned
Jan 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28176786C IN
Registered Nurse 163W00000X RN.508444 OH
Family Nurse Practitioner 363LF0000X 71014776A IN Primary
Registered Nurse 163W00000X 28176786A IN

Addresses

Primary practice location

26 N Arsenal Ave
Indianapolis, IN 46201-3808

Mailing address

1420 E Washington St
Indianapolis, IN 46201-3847
Phone (317) 696-3622

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
I20240131002143 IN Practitioner - Nurse Practitioner 7214380740 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1317 N State St
Greenfield, IN 46140-1026
Phone (317) 967-2167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28176786AINMDRegistered Nurse
28176786CINMDRegistered Nurse
RN.508444OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 24, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
The Damien Center Inc Family CurrentSince Jan 26, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 24, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1159 W Jefferson St
Ste 204
Franklin, IN 46131

1317 N State St
Greenfield, IN 46140
Phone (317) 967-2167

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

1420 E Washington St
Indianapolis, IN 46201
Phone (317) 632-0123

26 N Arsenal Ave
Indianapolis, IN 46201
Phone (317) 423-0123

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1114632841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013847",
            "telephone_number": "317-696-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N ARSENAL AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013808",
            "telephone_number": "317-632-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMERY",
        "first_name": "S. ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PHD, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-17",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28176786C",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.508444",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014776A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28176786A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.