Individual provider Active NPI

Ann Elizabeth Klosterkemper, CNP

  • Family Nurse Practitioner
  • Shelbyville, IN
National Provider Identifier
1013468982
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007177A Issued in IN
Practice address
2158 Intelliplex Dr Ste 100
Shelbyville, IN 46176-8548
Phone
(174) 211-9803
Fax
(317) 398-1822
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007177A IN Primary

Addresses

Primary practice location

2158 Intelliplex Dr Ste 100
Shelbyville, IN 46176-8548

Mailing address

2158 Intelliplex Dr
Ste 100
Shelbyville, IN 46176-8548
Phone (513) 792-7800

Other names 1

  • Ann Elizabeth Weigel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address majorhealthpartners@direct.majorhospital.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803001945 IN Practitioner - Nurse Practitioner 9032498407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians

Practice addresses (Care Compare)

2158 Intelliplex Dr
Suite 100
Shelbyville, IN 46176-8548
Phone (317) 421-1980

Hospital & facility affiliations

  • Major Hospital Hospital, Shelbyville, IN, CCN 150097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Multispecialty Associates CurrentSince Jun 25, 2019 Accepting new patients
Major Multispecialty Associates CurrentSince Jun 25, 2019 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2158 Intelliplex Dr
Ste 100
Shelbyville, IN 46176
Phone (317) 421-1980

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

Interoperability endpoints

  • Direct secure messaging: majorhealthpartners@direct.majorhospital.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1013468982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 INTELLIPLEX DR",
            "address_2": "STE 100",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768548",
            "telephone_number": "513-792-7800",
            "fax_number": "513-792-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 INTELLIPLEX DR STE 100",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768548",
            "telephone_number": "174-211-9803",
            "fax_number": "317-398-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTERKEMPER",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007177A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "majorhealthpartners@direct.majorhospital.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2158 Intelliplex Dr Ste 100",
            "city": "Shelbyville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461768548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "WEIGEL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.