Individual provider Active NPI

Kandace L Desadier, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1356017016
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011681A Issued in IN
Practice address
11020 Pendleton Pike
Indianapolis, IN 46236-2817
Phone
(317) 806-1140
Fax
(317) 934-7855
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011681A IN Primary

Addresses

Primary practice location

11020 Pendleton Pike
Indianapolis, IN 46236-2817

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

7320 E 86th St Ste 100
Indianapolis, IN 46256-1250
Phone (463) 999-9179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH, KY, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211007001860 IN Practitioner - Nurse Practitioner 6406254341 Reassigns benefits to 4 organizations
I20260211002032 OH Practitioner - Nurse Practitioner 6406254341 Reassigns benefits to 5 organizations
I20260213000432 KY Practitioner - Nurse Practitioner 6406254341 Reassigns benefits to 1 organization
I20260217000445 PA Practitioner - Nurse Practitioner 6406254341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Caremed Health Solutions of Kentucky, LLCGroup PAC ID 4880071299, 24 clinicians
Wound Med LLCGroup PAC ID 2769916915, 33 clinicians

Practice addresses (Care Compare)

11020 Pendleton Pike
Indianapolis, IN 46236-2817
Phone (317) 826-3903

1820 Oakview Rd
Ashland, KY 41101-3677
Phone (718) 534-0689

3550 Northfield Rd
Shaker Heights, OH 44122-5249
Phone (216) 752-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71011681AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed PA PC Family CurrentSince Jan 5, 2026 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2023 Accepting new patients
American Current Care PA CurrentSince Aug 11, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2023 Accepting new patients
Little Clinic of in LLC Family CurrentSince Oct 13, 2021 Accepting new patients
American Current Care P.a. CurrentSince Aug 11, 2025 Accepting new patients
Wound Med LLC CurrentSince Jan 5, 2026 Accepting new patients
Onhealthcare, LLC Current Accepting new patients
Optimum Healthcare, LLC Family Current Accepting new patients
Caremed Health Solutions of Kentucky, LLC CurrentSince Jan 5, 2026 Accepting new patients
Onhealthcare LLC CurrentSince Jun 25, 2025 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1217 S Rangeline Rd
Carmel, IN 46032
Phone (317) 574-4680

11700 Olio Rd
Fishers, IN 46037
Phone (317) 436-4950

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

7320 E 86th St
Ste 100
Indianapolis, IN 46256
Phone (463) 999-9179

5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551

11020 Pendleton Pike
Indianapolis, IN 46236
Phone (317) 806-1140

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

7240 Shadeland Sta
Ste 300
Indianapolis, IN 46256
Phone (317) 621-6060

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522

1820 Oakview Rd
Ashland, KY 41101
Phone (606) 325-5200

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

1022 N Union St
Middletown, PA 17057
Phone (717) 944-0491

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: kandace.desadier@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1356017016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 PENDLETON PIKE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362817",
            "telephone_number": "317-806-1140",
            "fax_number": "317-934-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7320 E 86th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561250",
            "country_code": "US",
            "telephone_number": "463-999-9179",
            "fax_number": "463-254-0140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESADIER",
        "first_name": "KANDACE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011681A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.