Active NPI
Ann Elizabeth Klosterkemper, CNP
- Family Nurse Practitioner
- Shelbyville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71007177A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
2158 Intelliplex Dr
Suite 100
Shelbyville, IN 46176-8548
Phone (317) 421-1980
Hospital & facility affiliations
- Major Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Multispecialty Associates | Current | Accepting new patients | |
| Major Multispecialty Associates | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1497901458
IN
-
- Orthopaedic Surgery Physician
- Shelbyville, IN
- NPI 1245405869
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.