Kaylee May Retseck
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sullivan, IN
NPI 1811623317 · NPPES record last updated Dec 2, 2025
Key facts
- NPI
- 1811623317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 71012831B (IN)
- Practice address
- 2232 N Hospital Blvd # 265
Sullivan, IN 47882-7674 - Phone
- (812) 268-2562
- Fax
- (812) 268-2561
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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)
2200 N Section St
Sullivan, IN 47882-7523
Phone (812) 268-4311
Hospital & facility affiliations
- Sullivan County Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230331002433 | IN | Practitioner - Nurse Practitioner | 3971978131 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012831B | IN | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sullivan County Community Hospital | Current |
Accepting new patients | |
| Valle Vista, LLC | Current |
Accepting new patients | |
| Valle Vista LLC | Current |
Accepting new patients | |
| Hamilton Center Inc. | Current |
Accepting new patients | |
| Sullivan County Community Hospital | Current |
Accepting new patients | |
| Hamilton Center, Inc. | Current |
Accepting new patients | |
| Valle Vista LLC | Past | Accepting new patients |
Locations
898 E Main St
Greenwood, IN 46143
Phone (317) 887-1348
2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292
620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200
Interoperability endpoints
- kaylee.retseck.1@27528.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71012831B | IN | Yes |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 71012831B | IN |
Addresses
Primary practice location
2232 N Hospital Blvd # 265
Sullivan, IN 47882-7674
Mailing address
2232 N Hospital Blvd # 265
Sullivan, IN 47882-7674
Phone (812) 268-2562
Other providers in Sullivan, IN
- Kathleen Pirtle
- R. Vedala and Associates, LLC
- Traci Ann Ray
- Keshava G Reddy
- Reflective Perspectives Counseling, LLC
- Angela D Rogers
- Rural Community Schools, Inc.
- Angela Beth Sagarsee
- Carson Sandy
- Tabitha Dee Simpson
All providers in Sullivan, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.