Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassandra L. Kellams

Individual provider Family Nurse Practitioner · NPI 1972334282

Cassandra L. Kellams is a Nurse Practitioner in Bloomington, Indiana. Qualified in 2023, 3 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

203 W 1st St
Bloomington, IN 47403-2504
Phone: (812) 668-1946
Fax: (812) 287-8438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10782 W Old Vincennes Rd, West Baden Springs, IN 47469-9669 — (812) 508-1143

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71016302A (IN)

Record details

NPI number1972334282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 8, 2024
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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