CASSIDY J MCKINLEY (ACAGNP) – Adult Health Nurse Practitioner, NPI 1417492208
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CASSIDY J MCKINLEY (ACAGNP)
300 North Meridian, 300, North Meridian Street, Indianapolis, Marion, Indiana, 46204, United States
INDIANAPOLIS, IN 462901024
Phone:
Type: Mailing
7098 N SHADELAND AVE
INDIANAPOLIS, IN 462204273
Phone: (317) 315-4554
Type: Mailing
475 SHERIDAN RD
NOBLESVILLE, IN 460601315
Phone: (317) 315-4554
Type: Location
3, West 86th Street, Spring Mill Woods, Indianapolis, Indiana, 46260, United States
INDIANAPOLIS, IN 462601902
Phone: (317) 338-3634
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: 2017-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170330001514 | I | Nurse Practitioner | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 57 | 56 | $0 |
| 99291 | Critical care, first 30-74 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 46290)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| Physical Therapist In Private Practice | OH | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Family Practice, Emergency Medicine | IN | |
| - | IN | |
| - | IN | |
| Hospitalist, Family Practice, Geriatric Medicine | IN |
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