Active NPI
Kacy Jo Rogers, NP
- Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71008037A
- Practice address
- 8450 Northwest Blvd
Indianapolis, IN 46278-1381 - Phone
- (317) 802-2000
- Fax
- (317) 802-2170
- NPI assigned
- May 18, 2018
- Last updated
- May 8, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28180551A | IN | |
| Nurse Practitioner | 363L00000X | 71008037A | IN | Primary |
Addresses
Primary practice location
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Mailing address
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
Other practice location 1
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
Other names 1
- Ms. Kacy Jo Blotkamp
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kacy.rogers.1@29985.direct.athenahealth.com | Orthopaedics-Indianapolis, Inc. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1260 Innovation Pkwy
Suite 100
Greenwood, IN 46143-3602
Phone (317) 884-5200
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
9070 E 56TH St
Suite 400
Brownsburg, IN 46112-7074
Phone (317) 268-3600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28180551A | IN | MD | Nurse Practitioner |
| 71008037A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Nurse Practitioner | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
1260 Innovation Pkwy
Ste 100
Greenwood, IN 46143
Phone (317) 884-5200
8450 Northwest Blvd
Indianapolis, IN 46278
Interoperability endpoints
- kacy.rogers.1@29985.direct.athenahealth.com
- kacyrogers@oi.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
Nurse Practitioner
-
dba Orthoindy
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan St. Elizabeth Health
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
dba OrthoIndy Hospital
- Special Hospital
- Indianapolis, IN
- NPI 1508979683
-
dba Ascension St Vincent Fishers
- General Acute Care Hospital
- Fishers, IN
- NPI 1881956167
-
dba Ascension St. Vincent Carmel
- General Acute Care Hospital
- Carmel, IN
- NPI 1639124134
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1164913703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8450 NORTHWEST BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781381",
"telephone_number": "317-802-2000",
"fax_number": "317-802-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 NORTHWEST BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781381",
"telephone_number": "317-802-2000",
"fax_number": "317-802-2170"
}
],
"practiceLocations": [
{
"address_1": "8450 Northwest Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462781381",
"country_code": "US",
"telephone_number": "317-802-2000",
"fax_number": "317-802-2868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "KACY",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28180551A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71008037A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kacy.rogers.1@29985.direct.athenahealth.com",
"affiliation": "Y",
"endpointDescription": "Athena address",
"affiliationName": "Orthopaedics-Indianapolis, Inc.",
"address_1": "8450 Northwest Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462781381",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KACY",
"last_name": "BLOTKAMP",
"middle_name": "JO",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
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 May 8, 2024; 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.