Individual provider Active NPI

Roseann A. Kiep, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceburg, IN
National Provider Identifier
1104598242
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71011558A Issued in IN
Practice address
285 Bielby Rd
Lawrenceburg, IN 47025-1055
Phone
(812) 537-1302
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 28130290A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71011558A IN Primary

Addresses

Primary practice location

285 Bielby Rd
Lawrenceburg, IN 47025-1055

Mailing address

540 Southwood Dr
Hamilton, OH 45013-3710
Phone (812) 621-0351

Other practice location 1

281 Bielby Rd
Lawrenceburg, IN 47025-1055
Phone (812) 537-7378

Other practice location 2

9127 Oxford Pike
Brookville, IN 47012-7874
Phone (765) 647-4173

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
I20211008001402 IN Practitioner - Nurse Practitioner 6002214814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Mental Health Center Inc.Group PAC ID 1456330166, 42 clinicians

Practice addresses (Care Compare)

285 Bielby Rd
Lawrenceburg, IN 47025-1055
Phone (812) 537-1302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28130290AINMDPsychiatric/Mental Health Registered Nurse
71011558AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Center Inc CurrentSince Sep 24, 2021 Accepting new patients

Locations

9127 Oxford Pike
Brookville, IN 47012
Phone (765) 580-9613

281 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-7378

285 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-1302

Organizations & group practices 1

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1104598242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SOUTHWOOD DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133710",
            "telephone_number": "812-621-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BIELBY RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251055",
            "telephone_number": "812-537-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Bielby Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470251055",
            "country_code": "US",
            "telephone_number": "812-537-7378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9127 Oxford Pike",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "IN",
            "postal_code": "470127874",
            "country_code": "US",
            "telephone_number": "765-647-4173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEP",
        "first_name": "ROSEANN",
        "middle_name": "A.",
        "credential": "APN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28130290A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71011558A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

Verify at the official NPI Registry.