MEDICARE: CASSIDY J MCKINLEY ACAGNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	71006907A	IN
2	363LA2100X	Acute Care Nurse Practitioner	71006907A	IN

General Provider Information

NPI Number	:	1417492208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSIDY J MCKINLEY ACAGNP

Provider Business Mailing Address
First Line	:	7098 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4273
Country	:	US
Telephone Number	:	317-315-4554
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 SHERIDAN RD
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1315
Country	:	US
Telephone Number	:	317-315-4554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2017
Last Update Date	:	01/08/2026

Similar Medicare Providers

1457481582 — DR. DERRICK A JOHNSTON DDS
Practice Location Address:

455 SHERIDAN RD
NOBLESVILLE, IN
46060-1315

Practice Phone: 317-773-1302
Practice Fax: 317-773-4214

1407074198 — DR. GAD FLAUMENHAFT D.P.M.
Practice Location Address:

475 SHERIDAN RD
NOBLESVILLE, IN
46060-1315

Practice Phone: 317-776-0077
Practice Fax: 317-776-0085

1336345537 — NOBLESVILLE FAMILY DENTISTRY
Practice Location Address:

455 SHERIDAN RD
NOBLESVILLE, IN
46060-1315

Practice Phone: 317-773-1302
Practice Fax: 317-773-4214

1093014680 — GAD FLAUMENHAFT PC
Practice Location Address:

475 SHERIDAN RD
NOBLESVILLE, IN
46060-1315

Practice Phone: 317-776-0077
Practice Fax: 317-776-0085

1083573638 — TAYLOR CALDWELL
Practice Location Address:

15570 STONY CREEK WAY
NOBLESVILLE, IN
46060-4385

Practice Phone: 317-732-5717
Practice Fax:

1134088552 — ABIGAIL MACKENZIE MORELAND
Practice Location Address:

15460 GALLOW LN
NOBLESVILLE, IN
46060-4634

Practice Phone: 317-289-3051
Practice Fax:

Directions to “ CASSIDY J MCKINLEY ACAGNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.