Active NPI
Kandace L Desadier, NP
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011681A
- 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
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 |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71011681A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremed PA PC | Family | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Little Clinic of in LLC | Family | Current | Accepting new patients |
| American Current Care P.a. | Current | Accepting new patients | |
| Wound Med LLC | Current | Accepting new patients | |
| Onhealthcare, LLC | Current | Accepting new patients | |
| Optimum Healthcare, LLC | Family | Current | Accepting new patients |
| Caremed Health Solutions of Kentucky, LLC | Current | Accepting new patients | |
| Onhealthcare LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Multi-Specialty Clinic/Center
- Ashland, KY
- NPI 1326789462
-
- Nursing Care Agency
- Shaker Heights, OH
- NPI 1790521060
-
- Family Nurse Practitioner
- Floyds Knobs, IN
- NPI 1558791384
-
- Optometrist
- Indianapolis, IN
- NPI 1417220369
-
- Family Nurse Practitioner
- Middletown, PA
- NPI 1891540431
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1205798626
-
- Multi-Specialty Clinic/Center
- Kenton, OH
- NPI 1669123949
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1326747734
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1760114961
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1538899638
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.