Active NPI
Kristi Kingsley
- Nurse Practitioner
- Washington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71011049A
- Practice address
- 10 White Ridge CT
Washington, IN 47501-8909 - Phone
- (812) 789-6158
- NPI assigned
- Nov 1, 2020
- Last updated
- Jun 10, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic Inc. | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Onhealthcare LLC | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Nurse Practitioner | Current | Accepting new patients |
| Onhealthcare, LLC | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current | 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 | Current | 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
- kkingsley17660@direct.mhhcc.org
- 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.
-
dba Memorial Healthcare of Huntingburg
- Emergency Medicine Physician
- Huntingburg, IN
- NPI 1114120128
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
Nurse Practitioner
-
dba Deaconess Clinic I
- Family Medicine Physician
- Morganfield, KY
- NPI 1891941688
Nurse Practitioner
-
dba Deaconess Clinic II
- Family Medicine Physician
- Newburgh, IN
- NPI 1033365986
Nurse Practitioner
-
dba Deaconess Clinic I
- Family Medicine Physician
- Evansville, IN
- NPI 1013274471
Nurse Practitioner
-
dba Memorial Health St. Charles
- Family Medicine Physician
- Jasper, IN
- NPI 1417499674
-
dba Deaconess Comprehensive Pain Management - Jasper
- Pain Medicine Physician
- Jasper, IN
- NPI 1457164543
-
dba Memorial Hospital and HealthCare Center
- Hospitalist Physician
- Jasper, IN
- NPI 1588778518
Nurse Practitioner
-
- Family Medicine Physician
- Huntingburg, IN
- NPI 1831980945
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
dba Summit Home Care
- Home Health Agency
- Indianapolis, IN
- NPI 1679562458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.