Individual provider Active NPI

Ellen Margaret Kresca, PA-C

  • Surgical Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1760947329
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10002625A Issued in IN
Practice address
705 Riley Hospital Dr Ste 2514
Indianapolis, IN 46202-5109
Phone
(317) 948-0345
Fax
(317) 948-0939
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10002625A IN Primary

Addresses

Primary practice location

705 Riley Hospital Dr Ste 2514
Indianapolis, IN 46202-5109

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

575 Riley Hospital Dr
Indianapolis, IN 46202-5272
Phone (317) 948-0345

Other identifiers 3

IdentifierTypeStateIssuer
300025053MedicaidIN
074790058OtherINMEDICARE
300018945MedicaidIN

Other names 1

  • Ellen Margaret Randall Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address EKRESCA@DIRECT.IUHEALTH.ORG Direct
Direct Messaging Address ernadall11@direct.iuhealth.org
Direct Messaging Address ekresca@direct.iuhealth.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
I20190507000137 IN Practitioner - Physician Assistant 5991047227 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002625AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Feb 2, 2026 Accepting new patients
Major Hospital Past Accepting new patients
Cardiothoracic Surgeons Pediatrics LLC Past Accepting new patients

Locations

11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

9650 E Washington St
Indianapolis, IN 46229
Phone (317) 890-5500

1801 Senate Blvd
Indianapolis, IN 46202
Phone (317) 929-8880

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

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

545 Barnhill Dr
#215
Indianapolis, IN 46202
Phone (317) 274-7949

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

705 Riley Hospital Dr
Ste 2514
Indianapolis, IN 46202
Phone (317) 948-0345

950 N Meridian St
Ste 500
Indianapolis, IN 46204
Phone (317) 962-4941

575 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 944-3966

Interoperability endpoints

  • Direct secure messaging: ekresca@direct.iuhealth.org

Organizations & group practices 4

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1760947329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR STE 2514",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-948-0345",
            "fax_number": "317-948-0939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 RILEY HOSPITAL DR",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025272",
            "country_code": "US",
            "telephone_number": "317-948-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRESCA",
        "first_name": "ELLEN",
        "middle_name": "MARGARET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10002625A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025053",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "074790058",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018945",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EKRESCA@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "575 RILEY HOSPITAL DR",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ernadall11@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "705 Riley Hospital Dr Ste 2514",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekresca@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "705 Riley Hospital Dr Ste 2514",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "RANDALL",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.