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

Kelly E Matthews

Individual provider Registered Nurse · NPI 1639605777

Kelly E Matthews is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-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
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Practice location Address checks out

11020 Pendleton Pike
Indianapolis, IN 46236-2817
Phone: (317) 826-3903
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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 7100732A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28199136A (IN)

Record details

NPI number1639605777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 29, 2020
Mailing address6626 E 75th St, Ste 500, Indianapolis, IN 46250-2805

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 Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Indianapolis