Individual provider Active NPI

Kelly J Bean, NP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1720246010
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002643A Issued in IN
Practice address
2700 Dr Martin Luther King Jr St
Indianapolis, IN 46208-5019
Phone
(317) 931-4300
NPI assigned
May 23, 2008
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002643A IN Primary

Addresses

Primary practice location

2700 Dr Martin Luther King Jr St
Indianapolis, IN 46208-5019

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Other practice location 1

14540 Prairie Lakes Blvd N
Suite 200
Noblesville, IN 46060-4366
Phone (317) 578-4193

Other identifiers 2

IdentifierTypeStateIssuer
200900770MedicaidIN
000000568239OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbean15070@direct.eskenazihealth.edu

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
I20151223001780 IN Practitioner - Nurse Practitioner 4486955028 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County Nurse Practitioner Current Accepting new patients
Eskenazi Medical Group Inc Nurse Practitioner CurrentSince Jan 4, 2016 Accepting new patients
The Health and Hospital Corporation of Marion County Nurse Practitioner CurrentSince Jan 4, 2016 Accepting new patients

Locations

2700 Martin Luther King Jr St
Indianapolis, IN 46208
Phone (317) 931-4300

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

Organizations & group practices 3

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1720246010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 DR MARTIN LUTHER KING JR ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462085019",
            "telephone_number": "317-931-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14540 Prairie Lakes Blvd N",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460604366",
            "country_code": "US",
            "telephone_number": "317-578-4193",
            "fax_number": "317-842-8412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAN",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002643A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200900770",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000568239",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbean15070@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "2700 Martin Luther King Jr St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462085019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.