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

Keith Priddle, FNP-C

Individual provider Registered Nurse · NPI 1235676099

Keith Priddle, FNP-C is a Nurse Practitioner in Greenwood, Indiana. Qualified in 2017, 9 years ago. Practices with Premier Family Medicine LLC, a 7-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
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

747 E County Line Rd Ste B
Greenwood, IN 46143-1082
Phone: (317) 789-9600
Fax: (317) 789-0600
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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 71007578A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28205187A (IN)

Record details

NPI number1235676099
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 31, 2017
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address747 E County Line Rd Ste B, Greenwood, IN 46143-1082

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 Premier Family Medicine Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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