Active NPI
Katherine Monica Kelly, RN/NP
- Family Nurse Practitioner
- Columbus, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71000702A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200165720A | Medicaid | IN | |
| 200165720 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLCColumbus Regional Health Physicians LLCReid Physician Associates IncCenterstone of Indiana Inc
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
- Norton Scott Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000702A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Indiana, Inc. | Current | Accepting new patients | |
| Columbus Regional Health Physicians, LLC | Current | Accepting new patients | |
| Turning Point Soc, Inc. | Current | Accepting new patients | |
| Centerstone of Indiana, Inc. | Current | Accepting new patients | |
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Mending Minds, LLC | Current | Accepting new patients | |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Centerstone Health Services, Inc. | Current | Accepting new patients | |
| Centerstone Health Services, Inc. | Current | Accepting new patients | |
| Centerstone Health Services, Inc. | Current | Accepting new patients | |
| Columbus Regional Health Physicians, LLC | Current | 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
- kkelly12036@edirect.crh.org
- https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4
- katherine.kelly.1@24167.direct.athenahealth.com
- https://api.platform.athenahealth.com/24341/brand/1/csg/1/fhir/r4
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1992781470
IN
-
- Federally Qualified Health Center (FQHC)
- Connersville, IN
- NPI 1518528579
IN
-
- Radiology Clinic/Center
- Winchester, IN
- NPI 1417653221
-
- Clinical Medical Laboratory
- Connersville, IN
- NPI 1194207316
-
- Radiology Clinic/Center
- Cambridge City, IN
- NPI 1689286973
-
- Radiology Clinic/Center
- Brookville, IN
- NPI 1669171195
-
- Clinical Medical Laboratory
- Richmond, IN
- NPI 1932520921
-
- Clinical Medical Laboratory
- Winchester, IN
- NPI 1962108787
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.