Kellee Eugene Perry, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71012102A Issued in IN

Practice address

606 E Grant St
Marion, IN 46952-2950

Phone

(765) 251-3987

NPI assigned

Jan 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Integumed LLC

  • Family Medicine Physician
  • Kokomo, IN
  • NPI 1306569546

  Single Specialty

  Medicare reassignment NPD Authorized official
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Hanover, IN
  • NPI 1649770769

  Single Specialty

  Medicare reassignment NPD
• Outpatient Integrated Strategies, LLC

  • Gerontology Nurse Practitioner
  • Carmel, IN
  • NPI 1205342235

  Single Specialty

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1154073963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E GRANT ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522950",
            "telephone_number": "765-251-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E GRANT ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522950",
            "telephone_number": "765-251-3987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 W Sycamore St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469016459",
            "country_code": "US",
            "telephone_number": "765-450-8585",
            "fax_number": "765-453-8262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1958 W Boulevard",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469026078",
            "country_code": "US",
            "telephone_number": "765-450-6554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KELLEE",
        "middle_name": "EUGENE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012102A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "2021185176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle N Pelz, MS, BCBA
• Richard Pennington, CRNA
• Eduardo V Pereira, LCSW
• Eudon Omar Perkins, PMHNP
• Tamy E Perng, D.O.
• Personal Care Concepts, Inc
• Logan Peters, RBT
• Mary Louise Peters, FNP
• Sarah Allen Pettice, LCSW
• Brandy Phillippe

• Family Nurse Practitioner in Marion, IN
• Providers in Marion, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.