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

Kelsey Rader, FNP

Individual provider Nurse Practitioner · NPI 1104479013

Kelsey Rader, FNP is a Nurse Practitioner in Lafayette, Indiana. Qualified in 2019, 7 years ago. Practices with Trustees of Purdue University, a 29-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3920 St Francis Way Ste 209
Lafayette, IN 47905-4917
Phone: (765) 775-2830
Fax: (765) 775-2826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009124A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71009124A (IN)

Record details

NPI number1104479013
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 19, 2019
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing addressPo Box 781076, Detroit, MI 48278-1076

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Trustees Of Purdue University — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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