Individual provider Active NPI

Katlyn Morgan Gahagen, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1316697139
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9365 Counselors Row Ste 210
Indianapolis, IN 46240-6418
Phone
(317) 429-0120
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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 Primary

Addresses

Primary practice location

9365 Counselors Row Ste 210
Indianapolis, IN 46240-6418

Mailing address

515 Bob Jones Way, Room 3001
Evansville, IN 47708
Phone (812) 488-3400

Other names 1

  • Katlyn Keele 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
I20220728002160 IN Practitioner - Physician Assistant 7214319896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cinqcare at Home PCGroup PAC ID 1456769330, 31 clinicians
Care Medical Practice PLLCGroup PAC ID 5991199804, 25 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46240
Phone (317) 429-0170

8900 Keystone Xing
Suite 540
Indianapolis, IN 46240-2130
Phone (317) 429-0120

Hospital & facility affiliations

  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Paradigm Health Hospice, Indianapolis, IN, CCN 151611
  • Riverview Health Hospital, Noblesville, IN, CCN 150059
  • Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006968AINMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katlyn.gahagen.1@32399.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1316697139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BOB JONES WAY, ROOM 3001",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47708",
            "telephone_number": "812-488-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9365 COUNSELORS ROW STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406418",
            "telephone_number": "317-429-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHAGEN",
        "first_name": "KATLYN",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "KEELE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.