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
Mailing address10782 W Old Vincennes Rd, West Baden Springs, IN 47469-9669

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

Other providers in Bloomington