Individual provider Active NPI

Kayla Rexroad, NP

  • Family Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1629748090
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016716A Issued in IN
Practice address
138 N Dixon Rd
Kokomo, IN 46901-4154
Phone
(765) 236-8282
Fax
(765) 451-4336
NPI assigned
Sep 16, 2021
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 71016716A IN Primary
Family Nurse Practitioner 363LF0000X 879663 NV
Pediatric Registered Nurse 163WP0200X 28243204A IN

Addresses

Primary practice location

138 N Dixon Rd
Kokomo, IN 46901-4154

Mailing address

138 N Dixon Rd
Kokomo, IN 46901-4154
Phone (765) 236-8282

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kayla.rexroad.1@7598.direct.athenahealth.com

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
I20250620003299 IN Practitioner - Nurse Practitioner 9537695507 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71016716AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Family CurrentSince Aug 4, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 3, 2025 Accepting new patients
Amal Kamil Obaid-Schmid, MD PLLC CurrentSince Oct 21, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 3, 2025 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 4, 2025 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

1010 N Main St
Bluffton, IN 46714
Phone (260) 261-1385

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

138 N Dixon Rd
Kokomo, IN 46901
Phone (765) 236-8202

10736 Randolph St
Winfield, IN 46307
Phone (219) 243-8140

2960 Sunridge Heights Pkwy
Henderson, NV 89052
Phone (725) 291-5900

2960 Sunridge Heights Pkwy
Ste 100
Henderson, NV 89052
Phone (725) 238-0400

10620 Southern Highlands Pkwy
#P110765
Las Vegas, NV 89141

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.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1629748090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014154",
            "telephone_number": "765-236-8282",
            "fax_number": "765-451-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014154",
            "telephone_number": "765-236-8282",
            "fax_number": "765-451-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXROAD",
        "first_name": "KAYLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016716A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "879663",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IN",
            "license": "28243204A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayla.rexroad.1@7598.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "138 N Dixon Rd",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469014154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.