Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelsey Lynne Grennell, PA-C

Individual provider Physician Assistant · NPI 1457177503

Mrs. Kelsey Lynne Grennell, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2024, 2 years ago. Practices with Northland Health Partners Community Health Center, a 15-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
2
Licensed in
ND
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

401 E 34th St
Indianapolis, IN 46205-3754
Phone: (317) 926-1507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC1121 (ND)

Record details

NPI number1457177503
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 22, 2024
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northland Health Partners Community Health Center — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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