Provider Demographics
NPI:1619160132
Name:BELL, KRISTEN ELAINE (FNP, BC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:ELAINE
Last Name:BELL
Suffix:
Gender:F
Credentials:FNP, BC
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:ELAINE
Other - Last Name:KENNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP, BC
Mailing Address - Street 1:3403 E RAYMOND ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-4744
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6905 E 96TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-4448
Practice Address - Country:US
Practice Address - Phone:317-621-6660
Practice Address - Fax:317-621-4473
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002381A363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000526001OtherBCBS
IN200912240Medicaid
INP01723970OtherRR MEDICARE
INP01723970OtherRR MEDICARE