Active NPI
Kayla Marie Kellams, MSN,FNP-C
- Family Nurse Practitioner
- Carlisle, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06221962
- Practice address
- 6908 S Old 41
Carlisle, IN 47838-8384 - Phone
- (812) 398-5050
- NPI assigned
- Jul 13, 2022
- Last updated
- Aug 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06221962 | IN | Primary |
Addresses
Primary practice location
6908 S Old 41
Carlisle, IN 47838-8384
Mailing address
PO Box 2
Carlisle, IN 47838-0002
Phone (812) 691-2579
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sullivan County Community Hospital
Practice addresses (Care Compare)
1005 S 3Rd St
Dugger Medical Clinic
Dugger, IN 47848-5011
Phone (812) 648-0228
2200 N Section St
Sullivan, IN 47882-7523
Phone (812) 268-4311
2229 Mary Sherman Dr
Sullivan, IN 47882-7633
Phone (812) 268-3318
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06221962 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sullivan County Community Hospital | Current | Accepting new patients | |
| Sullivan County Community Hospital | Current | Accepting new patients | |
| Sullivan County Community Hospital | Current | Accepting new patients | |
| Sullivan Family Practice, LLC | Current | Accepting new patients |
Locations
2186 N Hospital Blvd
Ste 2
Sullivan, IN 47882
Phone (812) 268-3318
2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292
2200 N Section St
Ste A
Sullivan, IN 47882
Phone (812) 268-6292
2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100
Interoperability endpoints
- kayla.kellams.6@8793.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Clinic/Center
- Sullivan, IN
- NPI 1497363303
-
- Critical Access Hospital
- Sullivan, IN
- NPI 1497759260
-
dba Dugger Medical Clinic
- Clinic/Center
- Terre Haute, IN
- NPI 1366076564
-
- Critical Access Hospital Clinic/Center
- Sullivan, IN
- NPI 1487450698
-
- Family Medicine Physician
- Sullivan, IN
- NPI 1770502981
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital Clinic/Center
- Sullivan, IN
- NPI 1487450698
-
- Critical Access Hospital
- Sullivan, IN
- NPI 1497759260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661040000000",
"number": "1730813015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2",
"city": "CARLISLE",
"state": "IN",
"postal_code": "478380002",
"telephone_number": "812-691-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6908 S OLD 41",
"city": "CARLISLE",
"state": "IN",
"postal_code": "478388384",
"telephone_number": "812-398-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLAMS",
"first_name": "KAYLA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSN,FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-13",
"last_updated": "2022-08-21",
"certification_date": "2022-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "F06221962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, IN
- Deborah Bedwell, APN
- Carlisle Lions Community Ambulance Inc
- Christina N Cox
- Cassandra Jennings, PSYD, HSPP
- Latasha Nichole Jones, FNP-C
- Mso Clinics, Inc. (Carlisle Medical Clinic)
- Kerri Frances Salamanca, PH.D.
- Mary R Sims, PHD
- Mendy Sparks, RN, IBCLC
- Sullivan County Community Hospital (Sunrise Health & Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; 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.