Individual provider Active NPI

Kristin Bailey Rapp, NP

  • Family Nurse Practitioner
  • Brownsburg, IN
National Provider Identifier
1144635475
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004969A Issued in IN
Practice address
69 E Garner Rd Ste 300
Brownsburg, IN 46112-7000
Phone
(317) 852-3616
Fax
(317) 852-6969
NPI assigned
Jun 25, 2014
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 71004969A IN Primary

Addresses

Primary practice location

69 E Garner Rd Ste 300
Brownsburg, IN 46112-7000

Mailing address

15429 Ackerley Dr
Fishers, IN 46040-1476

Other practice location 1

7202 E 71st St
Indianapolis, IN 46256-1938
Phone (317) 588-1000

Other identifiers 1

IdentifierTypeStateIssuer
201237090MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krapp40195@eCommunityDirect.com Medical Associates

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
I20140804000094 IN Practitioner - Nurse Practitioner 4082831771 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71004969AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Nov 17, 2014 Accepting new patients
Medical Associates CurrentSince Jul 1, 2014 Accepting new patients
Indiana University Health Care Associates, Inc Family CurrentSince Oct 1, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Nov 17, 2014 Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

5819 Reliable Pkwy
Chicago, IL 60686

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

950 N Meridian St
Indianapolis, IN 46204
Phone (317) 963-2200

Interoperability endpoints

  • Direct secure messaging: krapp2@direct.iuhealth.org
  • Direct secure messaging: krapp40195@ecommunitydirect.com
  • Direct secure messaging: kristin.rapp.1@11145.direct.athenahealth.com

Organizations & group practices 4

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1144635475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15429 ACKERLEY DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460401476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 E GARNER RD STE 300",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127000",
            "telephone_number": "317-852-3616",
            "fax_number": "317-852-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7202 E 71st St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561938",
            "country_code": "US",
            "telephone_number": "317-588-1000",
            "fax_number": "317-588-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPP",
        "first_name": "KRISTIN",
        "middle_name": "BAILEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004969A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201237090",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krapp40195@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Medical Associates",
            "address_1": "1500 N Ritter Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462193027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.