Individual provider Active NPI

Kellie Michelle Carter

  • Family Nurse Practitioner
  • Noblesville, IN
National Provider Identifier
1215829197
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016973A Issued in IN
Practice address
18077 River Rd
Noblesville, IN 46062-8303
Phone
(317) 776-7028
NPI assigned
Jul 16, 2025
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209032706 IL
Family Nurse Practitioner 363LF0000X 71016973A IN Primary

Addresses

Primary practice location

18077 River Rd
Noblesville, IN 46062-8303

Mailing address

18077 River Rd
Noblesville, IN 46062-8303
Phone (317) 776-7028

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
I20260314000185 IN Practitioner - Nurse Practitioner 5890278170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18077 River Rd
Suite 2000
Noblesville, IN 46062-8303

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209032706ILMDFamily Nurse Practitioner
71016973AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kokomo Pain Management, LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

18077 River Rd
Ste 200
Noblesville, IN 46062
Phone (317) 770-2146

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDHBCD/Endpoint/HDHBCD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1215829197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18077 RIVER RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628303",
            "telephone_number": "317-776-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18077 RIVER RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628303",
            "telephone_number": "317-776-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KELLIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016973A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.