Kelly Leanne Carden, FNP
Individual provider Active NPI Family Nurse Practitioner · Logansport, IN
NPI 1396032017 · NPPES record last updated Jul 1, 2011
Key facts
- NPI
- 1396032017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28135764A (IN)
- Practice address
- 1201 Michigan Ave
Suite 270
Logansport, IN 46947-1580 - Phone
- (574) 722-4921
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Logansport Hospital Inc
Memorial Hospital
Practice addresses (Care Compare)
1025 Michigan Ave
Suite 115
Logansport, IN 46947-1665
Phone (574) 722-3566
1201 Michigan Ave
Logansport, IN 46947-1530
3400 E Market St
Logansport, IN 46947-2295
Phone (574) 722-9633
Hospital & facility affiliations
- Angels of Mercy Homecare
- Memorial Hospital
- Indiana University Health White Memorial Hospital
- Ascension St Vincent Kokomo
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120202000611 | IN | Practitioner - Nurse Practitioner | 6901063916 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28135764A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Logansport Hospital, Inc. | Current |
Accepting new patients | |
| Parkview Logansport Hospital, Inc. | Current |
Accepting new patients |
Locations
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
1201 Michigan Ave
Ste 270
Logansport, IN 46947
Phone (574) 722-4921
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28135764A | IN | Yes |
Addresses
Primary practice location
1201 Michigan Ave
Suite 270
Logansport, IN 46947-1580
Mailing address
1201 Michigan Ave
Suite 270
Logansport, IN 46947-1580
Phone (574) 722-4921
Other providers in Logansport, IN
- Rachel Ann Cain
- Makinsey Calisto
- Bryce Call
- James Camp
- Cancer Care Group, P.C.
- Cardinal Center, Inc.
- Cardinal Center, Inc.
- Careage of Logansport, Inc.
- Ryan Joseph Carroll
- Timothy J Carson
All providers in Logansport, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.