Individual provider Active NPI

Kelly L. Prather, FNP-BC

  • Nurse Practitioner
  • Mooresville, IN
National Provider Identifier
1144761057
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001368A Issued in IN
Practice address
1199 Hadley Rd Ste 100
Mooresville, IN 46158-1788
Phone
(317) 834-3263
Fax
(317) 834-5194
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001368A IN Primary

Addresses

Primary practice location

1199 Hadley Rd Ste 100
Mooresville, IN 46158-1788

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1201 Hadley Rd
Mooresville, IN 46158-1737
Phone (317) 834-3263

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kprather45802@Direct.FranciscanAlliance.org Direct

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
I20170329000530 IN Practitioner - Nurse Practitioner 7810272184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
Arm Specialists LLCGroup PAC ID 8729214887, 18 clinicians

Practice addresses (Care Compare)

1201 Hadley Rd
Suite 220
Mooresville, IN 46158-1737
Phone (317) 865-5904

7230 Arbuckle CMNS
Suite 178
Brownsburg, IN 46112-2286
Phone (317) 456-2764

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Apr 1, 2017 Accepting new patients
Franciscan Physician Network CurrentSince Apr 1, 2017 Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

1201 Hadley Rd
Ste 220
Mooresville, IN 46158

1201 Hadley Rd
Mooresville, IN 46158
Phone (317) 783-8148

1199 Hadley Rd
Ste 100
Mooresville, IN 46158
Phone (317) 834-3263

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: kprather45802@direct.franciscanalliance.org

Organizations & group practices 3

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 1

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": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1144761057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 HADLEY RD STE 100",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581788",
            "telephone_number": "317-834-3263",
            "fax_number": "317-834-5194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Hadley Rd",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "IN",
            "postal_code": "461581737",
            "country_code": "US",
            "telephone_number": "317-834-3263",
            "fax_number": "317-834-5194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "KELLY",
        "middle_name": "L.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001368A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kprather45802@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1199 Hadley Rd Ste 100",
            "city": "Mooresville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461581788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.