Individual provider Active NPI

Cameron Kitchell, NP

  • Family Nurse Practitioner
  • Delphi, IN
National Provider Identifier
1114601267
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28202553A Issued in IN
Practice address
1165 N US Highway 421
Delphi, IN 46923-8722
Phone
(765) 449-2732
Fax
(866) 493-3120
NPI assigned
Jun 9, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28202553A IN Primary

Addresses

Primary practice location

1165 N US Highway 421
Delphi, IN 46923-8722

Mailing address

PO Box 306417
Nashville, TN 37230-6417
Phone (931) 253-1110

Other practice location 1

3727 E Market St
Logansport, IN 46947-4589
Phone (574) 727-2114

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
I20231229002421 IN Practitioner - Nurse Practitioner 2961852132 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28202553AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 28, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 28, 2023 Accepting new patients
Joint Heirs Pediatrics LLC Past Accepting new patients

Locations

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

3727 E Market St
Logansport, IN 46947
Phone (574) 727-2114

211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1114601267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306417",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306417",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N US HIGHWAY 421",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469238722",
            "telephone_number": "765-449-2732",
            "fax_number": "866-493-3120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 E Market St",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469474589",
            "country_code": "US",
            "telephone_number": "574-727-2114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHELL",
        "first_name": "CAMERON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28202553A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delphi, IN

Sources for this page

Verify at the official NPI Registry.