Kaci Bauske
Individual provider Active NPI Family Nurse Practitioner · Michigan City, IN
NPI 1013684752 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1013684752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71011929A (IN)
- Practice address
- 8733 W 400 N
Michigan City, IN 46360-9330 - Phone
- (219) 831-8740
- Fax
- (219) 877-1029
- NPI assigned
- Aug 29, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Rehabilitation, LLC
Chesterton Physical Therapy Inc
Franciscan Physician Network
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589
8733 W 400
Michigan City, IN 46360-9330
Phone (219) 879-0333
Hospital & facility affiliations
- Franciscan Home Care
- Franciscan Health Michigan City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220110001204 | IN | Practitioner - Nurse Practitioner | 4789076423 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28217390A | IN | MD | Nurse Practitioner |
| 71011929A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current |
Accepting new patients | |
| Franciscan Physician Network | Current |
Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
8733 W 400 N
Michigan City, IN 46360
Phone (219) 879-0330
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28217390A | IN | |
| Nurse Practitioner | 363L00000X | 71011929A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71011929A | IN | Yes |
Addresses
Primary practice location
8733 W 400 N
Michigan City, IN 46360-9330
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other providers in Michigan City, IN
- Cheryl Barnes
- Melissa Bartoszewicz
- Abul W Basher
- Michael Bassett
- Jon Bausback
- Michelle Bazin-Johnson
- Laura Beach
- Beacon of Light Care LLC
- Gabrielle Antoinette Becerra
- Joyce Elaine Beckner
All providers in Michigan City, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.