Individual provider Active NPI

Kristen Jean Bunch, CNM

  • Advanced Practice Midwife
  • Indianapolis, IN
National Provider Identifier
1164610564
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
09000143A Issued in IN
Practice address
1522 W Morris St
Indianapolis, IN 46221-1629
Phone
(317) 957-2500
Fax
(317) 957-2520
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 09000143A IN
Advanced Practice Midwife 367A00000X 09000143A IN Primary

Addresses

Primary practice location

1522 W Morris St
Indianapolis, IN 46221-1629

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

333 E Miller Dr
Bloomington, IN 47401-6557
Phone (812) 353-3245

Other identifiers 2

IdentifierTypeStateIssuer
200873960MedicaidIN
090540688OtherINMEDICARE

Other names 1

  • Kristen Jean Young Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kbunch@direct.iuhealth.org Direct
Direct Messaging Address kbunch@direct.iuhealth.org Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119001127 IN Practitioner - Certified Nurse Midwife (CNM) 4082905534 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Aug 20, 2021 Accepting new patients
Indiana University Health Bloomington Inc Family CurrentSince Mar 1, 2023 Accepting new patients
Indiana University Health Bloomington Inc CurrentSince Mar 1, 2023 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Aug 20, 2021 Accepting new patients
Iu Health Medical Group, LLC Family CurrentSince Jan 1, 2026 Accepting new patients
Indiana University Health Bloomington Inc Past Accepting new patients

Locations

7987 Solution Ctr
Chicago, IL 60677

333 E Miller Dr
Bloomington, IN 47401
Phone (812) 353-3104

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

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

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

714 N Senate Ave
Ste 130
Indianapolis, IN 46202
Phone (317) 963-5582

Interoperability endpoints

  • Direct secure messaging: kbunch3@direct.iuhealth.org

Organizations & group practices 6

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1164610564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 W MORRIS ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462211629",
            "telephone_number": "317-957-2500",
            "fax_number": "317-957-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E Miller Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474016557",
            "country_code": "US",
            "telephone_number": "812-353-3245",
            "fax_number": "812-353-3226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "KRISTEN",
        "middle_name": "JEAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "09000143A",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000143A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200873960",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "090540688",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbunch@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "333 E Miller Dr",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474016557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbunch@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1522 W Morris St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462211629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "YOUNG",
            "middle_name": "JEAN",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.