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

Individual provider Adult Health Nurse Practitioner · NPI 1811425382

Kathleen Kelli Carroll, NP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8424 Naab Rd Ste 1L
Indianapolis, IN 46260-1954
Phone: (317) 338-7780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71007306A (IN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 71007306A (IN)

Record details

NPI number1811425382
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 30, 2017
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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 St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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