Kelsea Broyles, NP in Mooresville, IN - Medicare Nurse Practitioner

Kelsea Broyles, NP is a medicare enrolled "Nurse Practitioner - Family" in Mooresville, Indiana. Her current practice location is 1205 Hadley Rd Ste 130, Mooresville, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 831-9340.

Kelsea Broyles is licensed to practice in Indiana (license number 71013599A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447950522.

Contact Information

	Kelsea Broyles, NP
	1205 Hadley Rd Ste 130, Mooresville, IN 46158-1934
	(317) 831-9340
	(317) 834-5768

Map and Direction

Provider's Profile

Full Name	Kelsea Broyles
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1205 Hadley Rd Ste 130, Mooresville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447950522
Provider Enumeration Date: 03/07/2023
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1951774058
Enrollment ID: I20230309002265

Medical Identifiers

Medical identifiers for Kelsea Broyles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447950522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28258256A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71013599A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsea Broyles allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsea Broyles is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelsea Broyles, NP Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Kelsea Broyles, NP 1205 Hadley Rd Ste 130, Mooresville, IN 46158-1934 Ph: (317) 831-9340

Reviews and Comments

Nurse Practitioner Nurses in Mooresville, IN

Cortney Michelle Riley, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Hadley Rd Ste 103, Mooresville, IN 46158 Phone: 765-961-5161
Linnessa Suanne Scott, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 651 N Indiana St, Mooresville, IN 46158 Phone: 317-506-9926
Gaynell S Pierson, MSN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Fields St, Mooresville, IN 46158 Phone: 317-584-0038 Fax: 317-834-5469
Britani N Frame, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 820 N Samuel Moore Pkwy, Mooresville, IN 46158 Phone: 317-483-5000 Fax: 317-483-5050
Janet R Perkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Fields St, Mooresville, IN 46158 Phone: 317-834-6678
Amy Jo King, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 Hadley Rd Ste 130, Mooresville, IN 46158 Phone: 317-831-9340 Fax: 317-834-4320
Kelly L. Prather, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1199 Hadley Rd Ste 100, Mooresville, IN 46158 Phone: 317-834-3263 Fax: 317-834-5194

Kelsea Broyles, NP - Medicare Nurse Practitioner in Mooresville, IN