Kelly Ann Friar, PA-C
Individual provider Active NPI Physician Assistant · Rochester, IN
NPI 1275215899 · NPPES record last updated Feb 28, 2025
Key facts
- NPI
- 1275215899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10004383A (IN)
- Practice address
- 1430 E 9TH St
Rochester, IN 46975-8931 - Phone
- (317) 738-8095
- NPI assigned
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Woodlawn Hospital
Practice addresses (Care Compare)
1400 E 9TH St
Rochester, IN 46975-8931
1430 E 9TH St
Rochester, IN 46975-8931
Hospital & facility affiliations
- Woodlawn Hospital
- Saint Joseph Regional Medical Center - Plymouth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618002133 | IN | Practitioner - Physician Assistant | 7618410762 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10004383A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodlawn Hospital | Current |
Accepting new patients | |
| Woodlawn Hospital | Current |
Accepting new patients | |
| Woodlawn Hospital | Current |
Accepting new patients |
Locations
1430 E 9th St
Rochester, IN 46975
Phone (574) 223-9393
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
Interoperability endpoints
- kfriar673692@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10004383A | IN | Yes |
Addresses
Primary practice location
1430 E 9TH St
Rochester, IN 46975-8931
Mailing address
12386 Diamond Dr
Plymouth, IN 46563-7623
Phone (219) 775-9608
Other providers in Rochester, IN
- Jerrod A Feldman
- David M Folk
- Richard Ray Forest
- Fort Wayne Orthopedics, LLC
- Derrek Freshour
- James J. Fritts
- DJ Frounfelter
- William S Frounfelter
- Fulton County EMS
- Fulton County Government
All providers in Rochester, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.