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

Kelly Sue Davis, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1588038475

Kelly Sue Davis, AGPCNP-BC is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2015, 11 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2015
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Practice location Address checks out

6401 E Washington St
Indianapolis, IN 46219-6614
Phone: (317) 808-7085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202-1184 — (317) 962-8893

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 28146332A (IN)

Record details

NPI number1588038475
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedNovember 16, 2015
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021

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 Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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