Individual provider Active NPI

Kelly Anne Hamm

  • Family Nurse Practitioner
  • New Castle, IN
National Provider Identifier
1629634746
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009311A Issued in IN
Practice address
152 Wittenbraker Ave
New Castle, IN 47362-5000
Phone
(765) 599-3100
Fax
(765) 518-5365
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28191466A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71009311A IN
Family Nurse Practitioner 363LF0000X 71009311A IN Primary

Addresses

Primary practice location

152 Wittenbraker Ave
New Castle, IN 47362-5000

Mailing address

PO Box 485
New Castle, IN 47362-0485
Phone (765) 521-1516

Other practice location 1

26 N Arsenal Ave
Indianapolis, IN 46201-3808
Phone (137) 632-0123 ext. 287

Other identifiers 1

IdentifierTypeStateIssuer
300041767MedicaidIN

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
I20200511000191 IN Practitioner - Nurse Practitioner 4385075217

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, shared by 41 NPIs, 153 clinicians

Practice addresses (Care Compare)

152 Wittenbraker Ave
New Castle, IN 47362-5035
Phone (765) 599-2754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
28191466AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital CurrentSince Dec 7, 2020 Accepting new patients
Henry County Memorial Hospital Family CurrentSince Dec 7, 2020 Accepting new patients
Henry County Memorial Hospital Family Current Accepting new patients
Mind Mechanics Psychiatric/Mental Health Past Accepting new patients
Heritage House of Richmond Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

152 Wittenbraker Ave
New Castle, IN 47362
Phone (765) 521-1483

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1629634746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620485",
            "telephone_number": "765-521-1516",
            "fax_number": "765-599-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WITTENBRAKER AVE",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473625000",
            "telephone_number": "765-599-3100",
            "fax_number": "765-518-5365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 N Arsenal Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462013808",
            "country_code": "US",
            "telephone_number": "137-632-0123 x287",
            "fax_number": "317-632-4362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMM",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28191466A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71009311A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009311A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300041767",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.