Kendra A Misbach, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71004574A Issued in IN

Practice address

1601 Medical Arts Blvd
Ste 102
Anderson, IN 46011-3434

Phone

(765) 298-4545

Fax

(765) 298-4945

NPI assigned

Jul 29, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, CO, OH, NC, DE, DC, MO, KS8 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 8

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

In Post Acute Specialists PCGroup PAC ID 8325379522, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gilpin Hall Nursing home, Wilmington, DE, CCN 085047
• Miller'S Merry Manor Nursing home, Logansport, IN, CCN 155235

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• In Post Acute Specialists, PC

  • Internal Medicine Physician
  • Saint John, IN
  • NPI 1629584396
  Medicare reassignment Care Compare group NPD
• Post Acute Specialists, LLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1114441565

  CO, DC, DE, KS, MO, NC, OH

  Medicare reassignment Care Compare group NPD
• Indiana University Health Ball Memorial Physicians, Inc.

  • Family Medicine Physician
  • Muncie, IN
  • NPI 1235455544

  Nurse Practitioner

  Medicare reassignment NPD
• Ca Post Acute Specialists PC

  • Family Medicine Physician
  • Redding, CA
  • NPI 1710401302
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Johnson Memorial Hospital

  • Skilled Nursing Facility
  • Logansport, IN
  • NPI 1982627329

  Nursing home

  Care Compare affiliation
• Home for Aged Women Inc

  • Skilled Nursing Facility
  • Wilmington, DE
  • NPI 1851482939

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1104268432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6983 HILLSDALE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502054",
            "telephone_number": "317-308-2800",
            "fax_number": "317-576-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL ARTS BLVD",
            "address_2": "STE 102",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113434",
            "telephone_number": "765-298-4545",
            "fax_number": "765-298-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISBACH",
        "first_name": "KENDRA",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004574A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201183850",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01403068",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Million, RBT
• Mark C Mills, M.D.
• Shelli Mills
• Mina Swofford, M.D. P.C
• Umair Saleem Minhas, M.D.
• Kristin Renae Mitcham, RN
• Jada Mitchell
• Nora D Mitiche, NP
• Moayyed Moallem, MD
• Amanda Modlin

• Nurse Practitioner in Anderson, IN
• Providers in Anderson, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.

Verify at the official NPI Registry.