Individual provider Active NPI

Kelli A Hertz, M.D.

  • Obstetrics & Gynecology Physician
  • Mooresville, IN
National Provider Identifier
1538199591
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01057454 Issued in IN
Practice address
1205 Hadley Rd Ste 120
Mooresville, IN 46158-1934
Phone
(317) 834-8960
Fax
(317) 834-8951
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01057454 IN Primary

Addresses

Primary practice location

1205 Hadley Rd Ste 120
Mooresville, IN 46158-1934

Mailing address

PO Box 781076
Detroit, MI 48278-1008
Phone (317) 528-4800

Other practice location 1

1190 W Main St Ste 200
Vevay, IN 47043-3665
Phone (812) 427-9564

Other practice location 2

2051 Clevidence Blvd Ste B
Clarksville, IN 47129-2278
Phone (502) 629-2030

Other practice location 3

206 W Tyson St Ste 1A
Versailles, IN 47042-8036
Phone (812) 689-5101

Other practice location 4

1373 E State Road 62 Ste 2F
Madison, IN 47250-7328
Phone (812) 801-0856

Other identifiers 2

IdentifierTypeStateIssuer
200427150AMedicaidIN
64069651MedicaidKY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917001081 IN Practitioner - Obstetrics/Gynecology 6002931797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1205 Hadley Rd
Suite 120
Mooresville, IN 46158-1934
Phone (317) 834-8950

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0856

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01057454INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton - Kings Daughters Health Inc Obstetrics & Gynecology CurrentSince Aug 1, 2003 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Franciscan Physician Network CurrentSince Jan 16, 2026 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Aug 1, 2003 Accepting new patients
Franciscan Physician Network CurrentSince Jan 16, 2026 Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1373 E State Road 62
Ste 2F
Madison, IN 47250
Phone (812) 801-0856

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1190 W Main St
Ste 200
Vevay, IN 47043
Phone (812) 427-9423

Interoperability endpoints

  • Direct secure messaging: khertz244957@direct.nortonhealthcare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1538199591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781008",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HADLEY RD STE 120",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581934",
            "telephone_number": "317-834-8960",
            "fax_number": "317-834-8951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 W Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vevay",
            "state": "IN",
            "postal_code": "470433665",
            "country_code": "US",
            "telephone_number": "812-427-9564",
            "fax_number": "812-427-9621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 Clevidence Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "471292278",
            "country_code": "US",
            "telephone_number": "502-629-2030",
            "fax_number": "502-629-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 W Tyson St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Versailles",
            "state": "IN",
            "postal_code": "470428036",
            "country_code": "US",
            "telephone_number": "812-689-5101",
            "fax_number": "812-689-6199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1373 E State Road 62 Ste 2F",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0856",
            "fax_number": "812-801-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "KELLI",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01057454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200427150A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64069651",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.