Keith Egly
NPI 1790451730 · Family Nurse Practitioner · Churubusco, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Egly is a Family Nurse Practitioner provider in Churubusco, IN (NPI 1790451730).
Provider details
- NPI number
- 1790451730
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 110355 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-19
- Last updated
- 2021-08-19
- Certified
- 2021-08-19
Frequently asked questions
- What is Keith Egly's NPI number?
- Keith Egly's National Provider Identifier (NPI) is 1790451730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Egly's specialty?
- Keith Egly is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keith Egly located?
- Keith Egly's practice location on file with NPPES is 8415 State Road 205, Churubusco, IN 46723-9234.
- What is Keith Egly's phone number?
- The practice phone number listed in the NPPES registry for Keith Egly is (260) 417-2775.
- Does Keith Egly accept Medicare?
- Keith Egly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Egly's NPI active?
- Yes — Keith Egly's NPI (1790451730) is active in the NPPES registry as of the last update on 2021-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.