| Kelly J Anderson, RN, FNP-C | |
|
111 Arrowhead Trl, Bedford, IN 47421-5820 | |
| (812) 804-3400 | |
| Not Available |
| Full Name | Kelly J Anderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 111 Arrowhead Trl, Bedford, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932437514 | NPI | - | NPPES |
| 201013990 | Medicaid | KY | |
| 300009768 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71003119A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monroe Hospital | Bloomington, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monroe Medical Group Inc | 0446576680 | 24 |
| Inhome Connect Of Southwest Indiana, Llc | 1254710999 | 5 |
| Entity Name | Minuteclinic Diagnostics Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932171634 PECOS PAC ID: 3072548502 Enrollment ID: O20051003000830 |
| Entity Name | Monroe Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568627206 PECOS PAC ID: 0446576680 Enrollment ID: O20150305000230 |
| Entity Name | Indiana Community Health Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093392870 PECOS PAC ID: 3971908252 Enrollment ID: O20210825000933 |
| Entity Name | Inhome Connect Of Southwest Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366185001 PECOS PAC ID: 1254710999 Enrollment ID: O20220627000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly J Anderson, RN, FNP-C 5150 Shelbyville Rd, Indianapolis, IN 46237-2601 Ph: (317) 782-1577 | Kelly J Anderson, RN, FNP-C 111 Arrowhead Trl, Bedford, IN 47421-5820 Ph: (812) 804-3400 |
Mr. Tyler Lee White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469 | |
Stephanie Ann Mason, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 23rd St, Bedford, IN 47421 Phone: 812-275-3331 | |
Jamie R Bohnke, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
Mrs. Alyssa Brooke Kellams, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2418 16th St, Bedford, IN 47421 Phone: 812-508-8683 | |
Barbara Deich, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-5352 Fax: 812-275-1374 | |
Mrs. Amanda Sue Bowman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469 | |
Cathern Amanda Pruett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 |