Shane W. Kesler, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10001547A Issued in IN

Practice address

7151 Marsh Rd Ste 150
Indianapolis, IN 46278-1631

Phone

(317) 208-3866

Fax

(317) 208-3867

NPI assigned

Sep 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Southern Illinois University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skesler1@direct.iuhealth.org
• Direct secure messaging: skesler211290@direct.optum.com

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.

• American Health Network of Indiana, LLC

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1831236272
  Medicare reassignment Care Compare group NPD
• Nora Urgent Care LLC

  • Urgent Care Clinic/Center
  • Indianapolis, IN
  • NPI 1033548896
  Medicare reassignment
• American Health Network of Indiana LLC

  • Radiology Clinic/Center
  • New Albany, IN
  • NPI 1164304424
  NPD
• Beltway Surgery Centers LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1205939345
  NPD
• Indiana University Health Ambulatory Surgery Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1841187143
  NPD
• Nora Urgent Care LLC

  • Urgent Care Clinic/Center
  • Indianapolis, IN
  • NPI 1568932002
  NPD
• American Health Network of Indiana, LLC

  • Family Medicine Physician
  • Mulberry, IN
  • NPI 1033220017
  NPD (past)
• Decatur Emergency Medical Services II S C

  • Emergency Medical Services (Emergency Medicine) Physician
  • Decatur, IL
  • NPI 1699881508
  NPD (past)

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1992056774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 MARSH RD STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781631",
            "telephone_number": "317-208-3866",
            "fax_number": "317-208-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 MARSH RD STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781631",
            "telephone_number": "317-208-3866",
            "fax_number": "317-208-3867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 S Dixon Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469026411",
            "country_code": "US",
            "telephone_number": "317-208-3866",
            "fax_number": "317-208-3867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12174 N Meridian St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460324578",
            "country_code": "US",
            "telephone_number": "317-208-3866",
            "fax_number": "317-208-3867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESLER",
        "first_name": "SHANE",
        "middle_name": "W.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004441",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001547A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "062110013",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shane.keslerpa.p68@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "7151 Marsh Rd Ste 150",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462781631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Ann Keshena
• Erik P Keskinen, MD
• Kenneth Kesler, MD
• Khloe Kesler
• Mark E Kesler, DDS
• Danielle Erin Kessel
• Denise A Kessens, FNP
• Jack Kessey
• Cassandra Kessler
• Elisabeth Virginia Kessler, LMHC

• Physician Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.