Individual provider Active NPI

Kelsey L Watson, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1194183202
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006489A Issued in IN
Practice address
8424 Naab Rd Ste 2a
Indianapolis, IN 46260-1966
Phone
(317) 415-6300
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71006489A IN Primary

Addresses

Primary practice location

8424 Naab Rd Ste 2a
Indianapolis, IN 46260-1966

Mailing address

8424 Naab Rd Ste 2a
Indianapolis, IN 46260-1966

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelsey.allbright.1@7598.direct.athenahealth.com St. Vincent Medical Group, 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922000163 IN Practitioner - Nurse Practitioner 1456648252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

8433 Harcourt Rd
Suite 200
Indianapolis, IN 46260-2195
Phone (317) 338-7800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jul 17, 2017 Accepting new patients
St. Vincent Medical Group, Inc. Family CurrentSince Jul 17, 2017 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations

590 Pit Rd
Brownsburg, IN 46112
Phone (317) 415-6040

13250 Hazel Dell Pkwy
Ste 104
Carmel, IN 46033
Phone (317) 415-6117

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8424 Naab Rd
Ste 2A
Indianapolis, IN 46260
Phone (317) 415-6300

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

10801 N Michigan Rd
Ste 110
Zionsville, IN 46077
Phone (317) 344-1235

Interoperability endpoints

  • Direct secure messaging: kelsey.allbright.2@7598.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1194183202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD STE 2A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD STE 2A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601966",
            "telephone_number": "317-415-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KELSEY",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006489A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsey.allbright.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "8424 Naab Rd Ste 2A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.