Individual provider Active NPI

Kelsey Marie Julian, MPAS, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1316241524
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001232A Issued in IN
Practice address
1550 E County Line Road
Suite 200
Indianapolis, IN 46227-0990
Phone
(317) 497-6497
Fax
(317) 497-6400
NPI assigned
Jan 3, 2011
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001232A IN Primary

Addresses

Primary practice location

1550 E County Line Road
Suite 200
Indianapolis, IN 46227-0990

Mailing address

1550 E County Line Road
Suite 200
Indianapolis, IN 46227-0990
Phone (317) 497-6497

Other identifiers 2

IdentifierTypeStateIssuer
000000719440OtherINANTHEM
9793702OtherINAETNA

Other names 1

  • Kelsey Marie Daily Former name

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
I20110225000115 IN Practitioner - Physician Assistant 9830370725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood Orthopedics PCGroup PAC ID 8022092378, 8 clinicians
Cutting Edge Physical Therapy Limited PartnershipGroup PAC ID 6406869163, 109 clinicians

Practice addresses (Care Compare)

1550 E County Line Rd
Suite 200
Indianapolis, IN 46227-0990
Phone (317) 497-6497

2390 National Rd W
Richmond, IN 47374-4625

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001232AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Orthopedics PC CurrentSince Jul 1, 2011 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1550 E County Line Rd
Ste 200
Indianapolis, IN 46227
Phone (317) 497-2130

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1316241524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E COUNTY LINE ROAD",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270990",
            "telephone_number": "317-497-6497",
            "fax_number": "317-497-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E COUNTY LINE ROAD",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270990",
            "telephone_number": "317-497-6497",
            "fax_number": "317-497-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001232A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000719440",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9793702",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "DAILY",
            "middle_name": "MARIE",
            "credential": "MPAS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.