EMILY KELLY KOFFEL (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1003392424
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
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Provider Addresses for EMILY KELLY KOFFEL (AGACNP-BC)
520, West 96th Street, Carmel, Hamilton County, Indiana, 46260, United States
INDIANAPOLIS, IN 462601316
Phone:
Type: Mailing
Naab Road, Indianapolis, Indiana, 46260, United States
INDIANAPOLIS, IN 462602279
Phone: (317) 338-5100
Type: Location
2001 W 86th St
Indianapolis, IN 462601902
Phone: (317) 338-2345
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181004000212 | I | Nurse Practitioner | IN | TBD |
| I20230928003979 | I | Nurse Practitioner | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | IN | |
| Pulmonary Disease, Critical Care (Intensivists) | IN | |
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Internal Medicine | IN | |
| Family Practice | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IN | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IN | |
| Cardiovascular Disease (Cardiology) | IN |
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