KELLY M GARNER (AUD) – Audiologist, NPI 1376635896

KELLY M GARNER (AUD) is a healthcare provider. based in Indianapolis, Indiana. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 1601000658 (MI). The NPI Number for KELLY M GARNER (AUD) is 1376635896

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
KELLY M GARNER (AUD)
NPI
1376635896
Phone
(317) 988-4601
Address
1481 W 10th St
Enumeration Date
29 September 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7658648925
Graduation Year
1992 (34 years ago)
PAC ID
1355519513
Group Practice PAC ID
1759416662
Professional Enrollment ID
I20110714000653
Address ID
IN469023828KO3611XRDXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

249 QUALIFIED AUDIOLOGIST in IN

Provider Addresses for KELLY M GARNER (AUD)

  • 1481 W 10th St

    Indianapolis, IN 462022803

    Phone: (317) 988-4601

    Type: Location

  • 6626 E 75TH ST STE 500

    INDIANAPOLIS, IN 462502890

    Phone:

    Type: Mailing

  • 1481 W 10TH ST

    INDIANAPOLIS, IN 462022803

    Phone: (317) 988-4601

    Type: Mailing

  • B Drive North, Battle Creek, Calhoun County, Michigan, 49033, United States

    BATTLE CREEK, MI 490149514

    Phone: (269) 967-9281

    Type: Mailing

  • 3611 S REED RD STE 210

    KOKOMO, IN 469023828

    Phone: (765) 776-8925

    Fax: (765) 864-8926

    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: 2011-07-14

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
I20110714000653IQualified 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 46202)

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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: 1759416662View full group profile

Reviews

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Frequently asked questions

Is KELLY M GARNER (AUD) listed with a National Provider Identifier?
Yes — KELLY M GARNER (AUD) has NPI 1376635896 on file in the registry.
Active or inactive — what applies to KELLY M GARNER (AUD)?
You should see KELLY M GARNER (AUD) as active in CMS-hosted NPPES data.
What expertise is attributed to KELLY M GARNER (AUD)?
KELLY M GARNER (AUD)'s specialty line reads Audiologist. Clinical services aligned with this taxonomy classification.
Is KELLY M GARNER (AUD) associated with Indianapolis?
Public fields place KELLY M GARNER (AUD) around Indianapolis, Indiana. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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