Kelsea Broyles, NP
Nurse Practitioner, Family in Plainfield, IN. Individual provider (NPI-1).
NPI number1447950522
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1447950522
- Entity type
- Individual (NPI-1)
- Name
- Kelsea Broyles
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2023
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71013599A | IN | Yes |
| 163W00000X | Registered Nurse | 28258256A | IN |
Practice location
4733 Crabtree LnPlainfield, IN 46168-8385
Phone 317-441-3044
Mailing address
4733 Crabtree LnPlainfield, IN 46168-8385
Phone 317-441-3044
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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