Individual provider Active NPI

Kathleen A Nix, ANP

  • Adult Health Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1043465859
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71000357 Issued in IN
Practice address
1000 S Court St
Crown Point, IN 46307-4855
Phone
(219) 757-6272
Fax
(219) 681-6954
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71000357 IN Primary

Addresses

Primary practice location

1000 S Court St
Crown Point, IN 46307-4855

Mailing address

1000 S Court St
Crown Point, IN 46307-4855
Phone (219) 757-6272

Other practice location 1

1121 S Indiana Ave
Crown Point, IN 46307-7205
Phone (219) 663-2160

Other practice location 2

12800 Mississippi Pkwy Ste B201
Crown Point, IN 46307-6902
Phone (219) 663-7000

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
I20160615002622 IN Practitioner - Nurse Practitioner 9931490307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1121 S Indiana Ave
Crown Point, IN 46307-7205
Phone (219) 663-2160

Hospital & facility affiliations

  • Franciscan Home Care Home health agency, Hobart, IN, CCN 157145
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71000357INMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Jul 1, 2016 Accepting new patients
Franciscan Physician Network CurrentSince Jul 1, 2016 Accepting new patients
Franciscan Health Crown Point Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

12800 Mississippi Pkwy
Ste B201
Crown Point, IN 46307
Phone (219) 663-7000

1121 S Indiana Ave
Crown Point, IN 46307
Phone (219) 663-2160

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Organizations & group practices 3

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 4

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": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1043465859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074855",
            "telephone_number": "219-757-6272",
            "fax_number": "219-681-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074855",
            "telephone_number": "219-757-6272",
            "fax_number": "219-681-6954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 S Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463077205",
            "country_code": "US",
            "telephone_number": "219-663-2160",
            "fax_number": "219-663-7658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12800 Mississippi Pkwy Ste B201",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463076902",
            "country_code": "US",
            "telephone_number": "219-663-7000",
            "fax_number": "219-663-8621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIX",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71000357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.