Individual provider Active NPI

Ashley Marisa Keim, N.P.

  • Pediatric Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1740639186
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
28184582A Issued in IN
Practice address
2600 W White River Blvd
Muncie, IN 47303-5263
Phone
(765) 286-7000
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 28184582A IN Primary

Addresses

Primary practice location

2600 W White River Blvd
Muncie, IN 47303-5263

Mailing address

333 S Madison St
Muncie, IN 47305-2465
Phone (765) 281-4257

Other practice location 1

333 S Madison St
Muncie, IN 47305-2465
Phone (765) 281-4257

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
I20160818000056 IN Practitioner - Nurse Practitioner 5698060499 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28184582AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Services, Inc. Current Accepting new patients
Open Door Health Services, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Open Door Health Services, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations

333 S Madison St
Muncie, IN 47305
Phone (765) 287-3087

2600 W White River Blvd
Muncie, IN 47303
Phone (765) 254-5602

Interoperability endpoints

  • Direct secure messaging: ashley.keim.1@10844.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1740639186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S MADISON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473052465",
            "telephone_number": "765-281-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473035263",
            "telephone_number": "765-286-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473052465",
            "country_code": "US",
            "telephone_number": "765-281-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEIM",
        "first_name": "ASHLEY",
        "middle_name": "MARISA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "28184582A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.