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

Kelly E Matthews

Individual provider Registered Nurse · NPI 1639605777

Kelly E Matthews is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

11020 Pendleton Pike
Indianapolis, IN 46236-2817
Phone: (317) 826-3903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7100732A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28199136A (IN)

Record details

NPI number1639605777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 29, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Indianapolis