Individual provider Active NPI

Katherine Monica Kelly, RN/NP

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1659315315
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000702A Issued in IN
Practice address
2400 17TH St
Columbus, IN 47201-5351
Phone
(812) 376-5016
Fax
(812) 376-5928
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 28122181A IN
Family Nurse Practitioner 363LF0000X 71000702A IN Primary

Addresses

Primary practice location

2400 17TH St
Columbus, IN 47201-5351

Mailing address

203 E Main St
Richmond, IN 47374-4208
Phone (765) 973-9294

Other practice location 1

25 W Main St
Austin, IN 47102-1303
Phone (812) 794-8100

Other practice location 2

314 S Ferguson St
Henryville, IN 47126-9734
Phone (812) 794-8100

Other practice location 3

2500 N Park Rd
Connersville, IN 47331-3040
Phone (765) 222-1079

Other practice location 4

703 Pro-Med Ln
Suite 200
Carmel, IN 46032-5317
Phone (317) 843-9922

Other identifiers 2

IdentifierTypeStateIssuer
200165720AMedicaidIN
200165720MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkelly343665@ReidHealth.direct-ci.com Reid Physician Associates, Inc.
Direct Messaging Address kkelly12036@edirect.crh.org 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
I20070814000653 IN Practitioner - Nurse Practitioner 4789775149 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mending Minds, LLCGroup PAC ID 4284037987, 15 clinicians
Columbus Regional Health Physicians LLCGroup PAC ID 1052612314, 216 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Centerstone of Indiana IncGroup PAC ID 9436138427, 114 clinicians

Practice addresses (Care Compare)

1311 W 96TH St
Suite 110
Indianapolis, IN 46260-1172
Phone (317) 876-3699

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

2500 N Park Rd
Reid Health
Connersville, IN 47331-3040
Phone (765) 983-3000

720 N Marr Rd
Columbus, IN 47201-6660
Phone (812) 314-3400

Hospital & facility affiliations

  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71000702AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Indiana, Inc. CurrentSince Sep 27, 2017 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Mar 15, 2016 Accepting new patients
Turning Point Soc, Inc. CurrentSince Aug 17, 2024 Accepting new patients
Centerstone of Indiana, Inc. CurrentSince Sep 27, 2017 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Aug 24, 2019 Accepting new patients
Mending Minds, LLC CurrentSince Jul 26, 2022 Accepting new patients
Reid Physician Associates, Inc CurrentSince Aug 24, 2019 Accepting new patients
Centerstone Health Services, Inc. CurrentSince Feb 24, 2022 Accepting new patients
Centerstone Health Services, Inc. Current Accepting new patients
Centerstone Health Services, Inc. CurrentSince Feb 24, 2022 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Mar 15, 2016 Accepting new patients
Genoa Healthcare LLC Past Accepting new patients
Centerstone Health Services, Inc Past Accepting new patients
Indiana Health Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

645 S Rogers St
Ste A
Bloomington, IN 47403
Phone (812) 269-5092

720 N Marr Rd
Ste A
Columbus, IN 47201
Phone (812) 314-3400

720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

390 Erie Ave
Ste A
Connersville, IN 47331
Phone (812) 325-7492

1941 Virginia Ave
Connersville, IN 47331
Phone (765) 825-5131

1908 N Park Rd
Connersville, IN 47331
Phone (765) 222-1079

896 E Main St
Greenwood, IN 46143
Phone (317) 447-1348

1311 W 96th St
Ste 110
Indianapolis, IN 46260
Phone (317) 296-7707

1234 N Courtland Ave
Kokomo, IN 46901
Phone (765) 860-8365

3900 Southland Ave
Kokomo, IN 46902
Phone (317) 876-3699

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

831 Dillon Dr
Ste A
Richmond, IN 47374
Phone (765) 200-7900

Interoperability endpoints

  • Direct secure messaging: kkelly12036@edirect.crh.org
  • FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katherine.kelly.1@24167.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24341/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kkelly343665@reidhealth.direct-ci.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1659315315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744208",
            "telephone_number": "765-973-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 17TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015351",
            "telephone_number": "812-376-5016",
            "fax_number": "812-376-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 W Main St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "IN",
            "postal_code": "471021303",
            "country_code": "US",
            "telephone_number": "812-794-8100",
            "fax_number": "812-794-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 S Ferguson St",
            "address_purpose": "LOCATION",
            "city": "Henryville",
            "state": "IN",
            "postal_code": "471269734",
            "country_code": "US",
            "telephone_number": "812-794-8100",
            "fax_number": "812-794-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 N Park Rd",
            "address_purpose": "LOCATION",
            "city": "Connersville",
            "state": "IN",
            "postal_code": "473313040",
            "country_code": "US",
            "telephone_number": "765-222-1079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 Pro-Med Ln",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460325317",
            "country_code": "US",
            "telephone_number": "317-843-9922",
            "fax_number": "317-581-3918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHERINE",
        "middle_name": "MONICA",
        "credential": "RN/NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "IN",
            "license": "28122181A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000702A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200165720A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200165720",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkelly343665@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "703 Pro-Med Ln",
            "address_2": "Suite 200",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460325317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkelly12036@edirect.crh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2400 17th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.