Individual provider Active NPI

Sean M Kellihan, APRN

  • Nurse Practitioner
  • New Albany, IN
National Provider Identifier
1467867028
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28178684A Issued in IN
Practice address
4101 Technology Ave
New Albany, IN 47150-8548
Phone
(812) 941-4500
NPI assigned
Jun 23, 2014
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28178684A IN Primary

Addresses

Primary practice location

4101 Technology Ave
New Albany, IN 47150-8548

Mailing address

4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 981-3111

Other practice location 1

727 Mount Tabor Rd
New Albany, IN 47150-6951
Phone (812) 981-3111

Other practice location 2

3991 Dutchmans Ln Ste 4A
Louisville, KY 40207-4700
Phone (502) 365-2655

Other practice location 3

3999 Dutchmans Ln Ste 4A
Louisville, KY 40207-4745
Phone (502) 365-2655

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sean.kellihannp.p68@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150129000344 IN Practitioner - Nurse Practitioner 0042534703 Reassigns benefits to 2 organizations
I20150309002695 KY Practitioner - Nurse Practitioner 0042534703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500

503 Greenwood Trace Dr
Whiteland, IN 46184-9278
Phone (317) 535-7447

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Sep 14, 2020 Accepting new patients
American Health Network of Kentucky, LLC Nurse Practitioner CurrentSince May 13, 2021 Accepting new patients
American Health Network of Indiana, LLC Nurse Practitioner CurrentSince Sep 14, 2020 Accepting new patients
American Health Network of Indiana, LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

727 Mount Tabor Rd
Ste A
New Albany, IN 47150
Phone (812) 945-2717

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6000

3900 Kresge Way
Ste 44
Louisville, KY 40207
Phone (502) 897-6700

Interoperability endpoints

  • Direct secure messaging: sean.kellihannp.p68@direct.ahni.nextgenshare.com
  • Direct secure messaging: skellihan211588@direct.optum.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1467867028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TECHNOLOGY AVE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508548",
            "telephone_number": "812-981-3111",
            "fax_number": "812-981-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TECHNOLOGY AVE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508548",
            "telephone_number": "812-941-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 Mount Tabor Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471506951",
            "country_code": "US",
            "telephone_number": "812-981-3111",
            "fax_number": "812-981-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3991 Dutchmans Ln Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074700",
            "country_code": "US",
            "telephone_number": "502-365-2655",
            "fax_number": "502-365-2770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3999 Dutchmans Ln Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074745",
            "country_code": "US",
            "telephone_number": "502-365-2655",
            "fax_number": "502-365-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLIHAN",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28178684A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sean.kellihannp.p68@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4101 Technology Ave",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471508548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.