Kelsey Kippenbrock

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71014363A Issued in IN

Practice address

4506 1St Ave
Evansville, IN 47710-3624

Phone

(812) 428-6161

Fax

(812) 421-2883

NPI assigned

Sep 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585

  IN, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Deaconess Memorial Medical Center Inc

  • Emergency Medicine Physician
  • Huntingburg, IN
  • NPI 1114120128

  IN

  Medicare reassignment
• Deaconess Clinic, Inc

  • Rural Health Clinic/Center
  • Petersburg, IN
  • NPI 1831345792

  Nurse Practitioner

  Care Compare group NPD (past)
• Deaconess Clinic, Inc

  • Rural Health Clinic/Center
  • Fort Branch, IN
  • NPI 1285880179
  Care Compare group
• Deaconess Clinic, Inc

  • Family Medicine Physician
  • Oakland City, IN
  • NPI 1396040374
  Care Compare group
• Deaconess Clinic, Inc

  • Rural Health Clinic/Center
  • Princeton, IN
  • NPI 1447862958
  Care Compare group
• Deaconess Clinic, Inc

  • Rural Health Clinic/Center
  • Princeton, IN
  • NPI 1528214400
  Care Compare group
• Deaconess Clinic Inc

  • Rural Health Clinic/Center
  • Morganfield, KY
  • NPI 1467027664
  Care Compare group
• Deaconess Clinic, Inc

  • Rural Health Clinic/Center
  • Sebree, KY
  • NPI 1538788443
  Care Compare group
• Deaconess Clinic, Inc

  • Family Medicine Physician
  • Morganfield, KY
  • NPI 1891941688
  Care Compare group
• Deaconess Clinic, Inc

  • Rural Health Clinic/Center
  • Dixon, KY
  • NPI 1942924766
  Care Compare group
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310

  Nurse Practitioner

  NPD

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

• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427

  Hospital

  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1154100063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631767",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631767",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103624",
            "telephone_number": "812-428-6161",
            "fax_number": "812-421-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPPENBROCK",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014363A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody A Kinker, OTR/CHT
• M Jeanette Kinman, NP,C
• Kayla Kinnaird
• Tracy Joan Kinner, N.P.
• Deborah A Kinney, NP.
• Brittney A Kirk, NP
• Kelly Margaret Kirk, NP
• Vivian Kirk
• Wayne Franklin Kirk, DC
• William D Kirk

• All providers in Evansville, IN
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.