Individual provider Active NPI

Katie Reyna Payne, FNP-C

  • Nurse Practitioner
  • Batesville, IN
National Provider Identifier
1104325547
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008123A Issued in IN
Practice address
321 Mitchell Ave
Batesville, IN 47006-8909
Phone
(812) 933-5441
NPI assigned
Feb 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71008123A IN Primary

Addresses

Primary practice location

321 Mitchell Ave
Batesville, IN 47006-8909

Mailing address

PO Box 236
Batesville, IN 47006-0236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008123AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Mary Community Hospital Inc Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1104325547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470060236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MITCHELL AVE",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470068909",
            "telephone_number": "812-933-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KATIE",
        "middle_name": "REYNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008123A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, IN

Sources for this page

Verify at the official NPI Registry.