Individual provider Active NPI

Kayla Kohlman Meyer, FNP-C

  • Family Nurse Practitioner
  • Shelbyville, IN
National Provider Identifier
1538731617
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012257A Issued in IN
Practice address
2451 Intelliplex Dr Ste 260
Shelbyville, IN 46176-8581
Phone
(812) 756-1896
NPI assigned
Jul 16, 2021
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012257A IN Primary
Family Nurse Practitioner 363LF0000X 28233143A IN

Addresses

Primary practice location

2451 Intelliplex Dr Ste 260
Shelbyville, IN 46176-8581

Mailing address

701 E County Line Rd Ste 101
Greenwood, IN 46143-1070

Other practice location 1

701 E County Line Rd Ste 101
Greenwood, IN 46143-1070
Phone (812) 756-1896

Other identifiers 1

IdentifierTypeStateIssuer
300066137MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct.indianainternalmedicine@ccme.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220531002305 IN Practitioner - Nurse Practitioner 0244618460 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major HospitalGroup PAC ID 0446167415, 100 clinicians
St Francis Medical Group LLCGroup PAC ID 7012067697, 113 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211

30 W Rampart St
Suite 200
Shelbyville, IN 46176-5526

30 W Rampart St
Suite 200
Shelbyville, IN 46176-8846

701 E County Line Rd
Suite 101
Greenwood, IN 46143-1070
Phone (317) 885-2860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28233143AINMDFamily Nurse Practitioner
71012257AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
St Francis Medical Group LLC CurrentSince Feb 26, 2022 Accepting new patients
Major Hospital CurrentSince Mar 30, 2023 Accepting new patients
St. Francis Medical Group, LLC Family CurrentSince Feb 26, 2022 Accepting new patients
Major Multispecialty Associates CurrentSince Mar 30, 2023 Accepting new patients
Indiana Internal Medicine Consultants, LLC. Family CurrentSince Feb 26, 2022 Accepting new patients
Major Hospital CurrentSince Mar 30, 2023 Accepting new patients
Major Multispecialty Associates CurrentSince Mar 30, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

701 E County Line Rd
Ste 101
Greenwood, IN 46143
Phone (317) 885-2860

30 W Rampart St
Ste 250
Shelbyville, IN 46176
Phone (317) 398-7337

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

2451 Intelliplex Dr
Ste 260
Shelbyville, IN 46176
Phone (317) 398-0121

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: kkohlman235292@direct.franciscanalliance.org
  • Direct secure messaging: direct.indianainternalmedicine@ccme.com

Organizations & group practices 9

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 5

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1538731617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD STE 101",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR STE 260",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768581",
            "telephone_number": "812-756-1896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E County Line Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431070",
            "country_code": "US",
            "telephone_number": "812-756-1896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KAYLA",
        "middle_name": "KOHLMAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012257A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28233143A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300066137",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct.indianainternalmedicine@ccme.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "701 E County Line Rd Ste 101",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.