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Dr. Jack Leslie Kelley , MD

Surgery β€’ Lafayette, IN

Active NPI 1710956065 Individual Practitioner Male Practitioner
Practice location in NPPES

1500 Salem St
Lafayette, IN 479042164

Call 7654488000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1500 Salem St

Lafayette, IN 479042164

Telephone 7654488000
Fax 7654488337
Organization at the Same NPPES Address or Phone
Arnett Clinic, Llc Facility NPI 1508920471

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lafayette and Indiana

19 active clinicians are listed under Surgery with a practice address in Lafayette, IN (614 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lafayette

0% of these 19 clinicians have the CMS telehealth indicator.

78.9% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES IN 01022437A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
KE80251002 (IN)
Medicaid ID
100230510 (IN)
Other Identifier Anthem Provider Number
000000197818 (IN)
Other Identifier Caqh Number
10825369 (IN)
Other Identifier Phcs Pid Number
9017025 (IN)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
NPI 1003044520

Doctor of Medicine (M.D.)

NPI 1043272792

Doctor of Medicine (M.D.)

Abigail Crum , FNP-BC

Nurse Practitioner - Family

NPI 1003687005

Family Nurse Practitioner (Board Certified)

Amelia Dale , PA-C

Physician Assistant - Medical

NPI 1063896934

Physician Assistant (Certified)

Julie Debord , AGNP

Nurse Practitioner - Gerontology

NPI 1053968024

Adult-Gerontology Nurse Practitioner

NPI 1033187125

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated March 17, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1710956065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2006
Last Update: July 23, 2012
Sole Proprietor: No

Other Surgery Specialists in Lafayette

All Surgery Specialists in Lafayette

Mailing Address

Po Box 5545

Lafayette, IN 479035545

Phone: 7654488000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.