KELLY ANNE HAMM – Family Nurse Practitioner, NPI 1629634746

KELLY ANNE HAMM is a healthcare provider. based in New castle, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 28191466A (IN). The NPI Number for KELLY ANNE HAMM is 1629634746

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELLY ANNE HAMM
NPI
1629634746
Phone
(765) 521-1516
Address
PO BOX 485
Enumeration Date
14 May 2019
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7655992754
Graduation Year
2019 (7 years ago)
PAC ID
4385075217
Group Practice PAC ID
6002724085
Professional Enrollment ID
I20200511000191
Address ID
IN473625035NE152XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for KELLY ANNE HAMM

  • PO BOX 485

    NEW CASTLE, IN 473620485

    Phone: (765) 521-1516

    Fax: (765) 599-3131

    Type: Mailing

  • 152 WITTENBRAKER AVE

    NEW CASTLE, IN 473625000

    Phone: (765) 599-3100

    Fax: (765) 518-5365

    Type: Location

  • 26, North Arsenal Avenue, Arsenal Heights, Near Eastside, Indianapolis, Marion, Indiana, 46201, United States

    INDIANAPOLIS, IN 462013808

    Phone: (317) 632-0123

    Type: Mailing

  • 26 N Arsenal Ave

    Indianapolis, IN 462013808

    Phone: (137) 632-0123

    Fax: (317) 632-4362

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 179 Open Payments records for all available years, with a total value of $3,408.

Total Amount is formed as General ($3,408) + Research ($0) + Ownership ($0) = $3,408.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alkermes, Inc. ($1,175).

Total Amount

$3,408

General + Research + Ownership

Payments

179

Total payment records

General Amount

$3,408

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-05-11

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
I20200511000191INurse PractitionerINTBD

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 47362)

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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: 6002724085View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Diagnostic RadiologyIN
Nurse PractitionerIN
Internal MedicineIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
Clinical Social WorkerIN
P S Y C H I A T R YIN

Reviews

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Frequently asked questions

Can I verify KELLY ANNE HAMM with an NPI only?
You can start verification with NPI 1629634746 for KELLY ANNE HAMM, then check state licensing separately.
Can I rely on KELLY ANNE HAMM being an active provider?
As of the registry snapshot, KELLY ANNE HAMM is marked active.
What is KELLY ANNE HAMM's specialty?
The listing groups KELLY ANNE HAMM with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does KELLY ANNE HAMM serve?
KELLY ANNE HAMM's listing highlights New Castle, Indiana; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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