Anna K Kragt, MD
Individual provider Active NPI Family Medicine Physician · Middlebury, IN
NPI 1003838293 · NPPES record last updated Oct 1, 2021
Key facts
- NPI
- 1003838293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01045002A (IN)
- Practice address
- 206 W. Warren St
Middlebury, IN 46540-0459 - Phone
- (574) 825-2146
- Fax
- (574) 524-7435
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01045002A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlebury Family Physicians, Inc | Family Medicine | Past | Accepting new patients |
| Middlebury Family Physicians, Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- kragt@mybeacon.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01045002A | IN | Yes |
Addresses
Primary practice location
206 W. Warren St
Middlebury, IN 46540-0459
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200101330 | Medicaid | IN | |
| 236040026 | Other | IN | MEDICARE PTAN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KRAGT@mybeacon.cernerdirect.com |
Other providers in Middlebury, IN
- Trisha Imhoff
- Inhouse Physicians, S.C.
- Karen C. James
- Janet E. Kercher
- Kristie Lee Kirk
- Daniel Nelson Kragt
- Janet Ledyard
- Patty S McCarty
- Medstaffpc
- Andrea Meteiver
All providers in Middlebury, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.