Individual provider Active NPI

Kelsey Brooke Elliott, NP

  • Family Medicine Physician
  • Bainbridge, IN
National Provider Identifier
1891637831
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F03260069 Issued in IN
Practice address
209 E Pat Rady Way
Bainbridge, IN 46105-5508
Phone
(765) 301-7679
NPI assigned
Apr 8, 2026
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F03260069 IN Primary

Addresses

Primary practice location

209 E Pat Rady Way
Bainbridge, IN 46105-5508

Mailing address

209 E Pat Rady Way
Bainbridge, IN 46105-5508
Phone (765) 301-7679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Putnam County HospitalGroup PAC ID 1951396605, shared by 27 NPIs, 46 clinicians

Practice addresses (Care Compare)

440 E Pat Rady Way
North Putnam Family Healthcare
Bainbridge, IN 46105-9359
Phone (765) 522-2556

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03260069INMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1891637831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E PAT RADY WAY",
            "city": "BAINBRIDGE",
            "state": "IN",
            "postal_code": "461055508",
            "telephone_number": "765-301-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E PAT RADY WAY",
            "city": "BAINBRIDGE",
            "state": "IN",
            "postal_code": "461055508",
            "telephone_number": "765-301-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KELSEY",
        "middle_name": "BROOKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "F03260069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, IN

Sources for this page

Verify at the official NPI Registry.