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

Keely Anne Radosevic

Individual provider Nurse Practitioner · NPI 1851828636

Keely Anne Radosevic is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with Urology of Indiana LLC, a 81-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2017
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Practice location Address checks out

1270 N Post Rd Ste A
Indianapolis, IN 46219-4254
Phone: (317) 895-6095
Fax: (317) 895-6195
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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 28198674A (IN)

Record details

NPI number1851828636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Urology Of Indiana Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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