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

Kelly Nicely

Individual provider Registered Nurse · NPI 1043751167

Kelly Nicely is a Nurse Practitioner in Indianapolis, Indiana. Graduated from University of Cincinnati College of Medicine in 2016, 10 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Trained at
University of Cincinnati College of Medicine
Licensed in
IN
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1400 N Ritter Ave Ste 410
Indianapolis, IN 46219-3046
Phone: (317) 355-2700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71007005A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28199070A (IN)

Record details

NPI number1043751167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2017
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 17, 2020
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Indianapolis