Active NPI
Katlyn Morgan Gahagen, PA-C
- Physician Assistant
- Indianapolis, IN
National Provider Identifier
1316697139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
- Paradigm Health
- Riverview Health
- Hancock Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02006968A | IN | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1235736067
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1548596372
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenfield, IN
- NPI 1467485003
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1407289119
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
-
- Home Health Agency
- Noblesville, IN
- NPI 1598872939
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.