Individual provider Active NPI

Kristi Kingsley

  • Nurse Practitioner
  • Washington, IN
National Provider Identifier
1093315608
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71011049A Issued in IN
Practice address
10 White Ridge CT
Washington, IN 47501-8909
Phone
(812) 789-6158
NPI assigned
Nov 1, 2020
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71011049A IN Primary
Family Nurse Practitioner 363LF0000X 71011049A IN
Registered Nurse 163W00000X 28211975A IN

Addresses

Primary practice location

10 White Ridge CT
Washington, IN 47501-8909

Mailing address

10 White Ridge CT
Washington, IN 47501-8909
Phone (812) 789-6158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210611000765 IN Practitioner - Nurse Practitioner 6608276746 Reassigns benefits to 4 organizations
I20221122003511 KY Practitioner - Nurse Practitioner 6608276746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onhealthcare LLCGroup PAC ID 8527221480, 29 clinicians

Practice addresses (Care Compare)

4055 Gateway Blvd
Newburgh, IN 47630-7451
Phone (812) 858-3051

600 W 13TH St
Jasper, IN 47546-1882

714 S Eickhoff Rd
West River Health Campus
Evansville, IN 47712-9060
Phone (812) 985-9878

800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188

8425 Woodfield Crossing Blvd
Suite 100
Indianapolis, IN 46240-7316
Phone (248) 528-2116

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Feb 12, 2022 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner CurrentSince Oct 1, 2022 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Onhealthcare LLC CurrentSince Dec 15, 2024 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Feb 12, 2022 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner CurrentSince Jan 8, 2024 Accepting new patients
Onhealthcare, LLC CurrentSince Dec 15, 2024 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Nov 1, 2022 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Nov 1, 2022 Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince Jan 8, 2024 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Current Accepting new patients
Onhealthcare, LLC Nurse Practitioner Past Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

4011 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 858-2100

4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

2710 Heartland Crossing Blvd
Owensboro, KY 42303
Phone (270) 561-0140

Interoperability endpoints

  • Direct secure messaging: kkingsley17660@direct.mhhcc.org
  • Direct secure messaging: kkingsley229843@direct.deaconess.com

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 2

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": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1093315608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WHITE RIDGE CT",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475018909",
            "telephone_number": "812-789-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WHITE RIDGE CT",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475018909",
            "telephone_number": "812-789-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "KRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011049A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011049A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28211975A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.