MADELYNN KIESLE PNP NPI 1073345104

NPI Information

  • NPI: 1073345104
  • Provider Name: MADELYNN KIESLE, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 705 RILEY HOSPITAL DR
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 948-7185

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NPI Details

Madelynn Kiesle, PNP is a pediatrics nurse practitioner in Indianapolis, IN. Madelynn Kiesle, PNP NPI is 1073345104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 948-7185
Fax: (317) 944-7267

The NPI 1073345104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2024 and was last updated on 11/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0222XNurse PractitionerPediatrics, Critical Care28267361CINDIANANo
2363LP0222XNurse PractitionerPediatrics, Critical Care71016662AINDIANANo
3363LP0200XNurse PractitionerPediatrics71016662AINDIANAYes
4163W00000XRegistered Nurse28267361AINDIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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