KELLY MATTHEWS MCCAIN (M.S.) – Audiologist, NPI 1053513994

KELLY MATTHEWS MCCAIN (M.S.) is a healthcare provider. based in Mccordsville, Indiana. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.S.. They hold a License No. 23002363A (IN). The NPI Number for KELLY MATTHEWS MCCAIN (M.S.) is 1053513994

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KELLY MATTHEWS MCCAIN (M.S.)
NPI
1053513994
Phone
(317) 557-9690
Address
8790 N ASPEN WAY
Enumeration Date
4 June 2007
Last Update Date
3 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
2485282116
Graduation Year
2003 (23 years ago)
PAC ID
3577641901
Group Practice PAC ID
8527221480
Professional Enrollment ID
I20080424000609
Address ID
IN462407316IN8425XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

249 QUALIFIED AUDIOLOGIST in IN

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Provider Addresses for KELLY MATTHEWS MCCAIN (M.S.)

  • North Aspen Way, McCordsville, Hancock County, Indiana, 46055, United States

    MCCORDSVILLE, IN 460559398

    Phone: (317) 557-9690

    Type: Mailing

  • 2, North Meridian Street, Indianapolis, Marion, Indiana, 46204, United States

    INDIANAPOLIS, IN 462043021

    Phone: (317) 232-0881

    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: 2008-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080424000609IQualified AudiologistINTBD

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.

Verify on CMS Revalidation Lookup Tool

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 46055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527221480View full group profile
NameSpecialtyState
P O D I A T R YIL
Nurse PractitionerIN
Qualified AudiologistIN
Nurse PractitionerIN
P O D I A T R YIN
-IN
Nurse PractitionerIN
-IN
Nurse PractitionerTN
-IN

Reviews

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Frequently asked questions

Can I use this page to confirm KELLY MATTHEWS MCCAIN (M.S.)'s NPI?
Yes. KELLY MATTHEWS MCCAIN (M.S.) is listed with NPI 1053513994 in the public NPI dataset.
Does the file indicate KELLY MATTHEWS MCCAIN (M.S.) is practicing under active NPI?
Directory data currently reports KELLY MATTHEWS MCCAIN (M.S.) as active.
What is KELLY MATTHEWS MCCAIN (M.S.)'s specialty?
The listing groups KELLY MATTHEWS MCCAIN (M.S.) with Audiologist. Clinical services aligned with this taxonomy classification.
Where should I expect KELLY MATTHEWS MCCAIN (M.S.) on a map?
Expect Mccordsville, Indiana as a primary anchor for KELLY MATTHEWS MCCAIN (M.S.) unless the record lists multiple sites.
Why does KELLY MATTHEWS MCCAIN (M.S.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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