Individual provider Active NPI

Whitney Renee Keller, WHNP

  • Women's Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1831908797
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71016190A Issued in IN
Practice address
1801 N Senate Blvd Ste 310
Indianapolis, IN 46202-1196
Phone
(317) 957-2070
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 71016190A IN Primary

Addresses

Primary practice location

1801 N Senate Blvd Ste 310
Indianapolis, IN 46202-1196

Mailing address

5300 Hartshire West Dr Apt 11
Bargersville, IN 46106-8636
Phone (463) 724-9664

Other identifiers 1

IdentifierTypeStateIssuer
300101516MedicaidIN

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
I20250116002028 IN Practitioner - Nurse Practitioner 2466980594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Healthnet IncGroup PAC ID 7214840933, 77 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Healthnet Triage OB/GYN Services
Indianapolis, IN 46202-1239
Phone (317) 962-8909

2855 N Keystone Ave
Suite 120
Indianapolis, IN 46218-2790

3403 E Raymond St
Indianapolis, IN 46203-4744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71016190AINMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnet, Inc. CurrentSince Jan 3, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3401 E Raymond St
#0
Indianapolis, IN 46203

3403 E Raymond St
Indianapolis, IN 46203
Phone (317) 957-2000

1801 Senate Blvd
Ste 310
Indianapolis, IN 46202
Phone (317) 957-2070

3401 E Raymond St
Indianapolis, IN 46203
Phone (317) 788-9769

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

1522 W Morris St
Indianapolis, IN 46221
Phone (317) 957-2500

2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218

Organizations & group practices 2

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": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1831908797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HARTSHIRE WEST DR APT 11",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461068636",
            "telephone_number": "463-724-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD STE 310",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021196",
            "telephone_number": "317-957-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "WHITNEY",
        "middle_name": "RENEE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71016190A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300101516",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.