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

Kellie Planck

Individual provider Family Nurse Practitioner · NPI 1144680679

Kellie Planck is a Nurse Practitioner in Gas City, Indiana. Qualified in 2015, 11 years ago. Practices with Marion General Hospital, a 117-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2016
Specialties on file
2

Practice location Address checks out

4781 Kaybee Dr
Gas City, IN 46933-6607
Phone: (765) 660-7840
Fax: (765) 671-3509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71006172A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71006172A (IN)

Record details

NPI number1144680679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 25, 2016
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020
Mailing address330 N Wabash, Ste G20, Marion, IN 46952-2600

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Marion General Hospital — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gas City