Kirsten O'Block Betkowski, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71005612A Issued in IN

Practice address

10012 Calumet Ave Ste a
Munster, IN 46321

Phone

(219) 227-5119

NPI assigned

Nov 12, 2014

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• GN Endocrinology LTD

  • Endocrinology, Diabetes & Metabolism Physician
  • Munster, IN
  • NPI 1154799690
  Medicare reassignment NPD

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1164828554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 CALUMET AVE STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214055",
            "telephone_number": "219-227-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 CALUMET AVE STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-227-5119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Saint Mary Rd # 204",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463833986",
            "country_code": "US",
            "telephone_number": "219-769-7060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9120 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212907",
            "country_code": "US",
            "telephone_number": "219-513-9415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 E 89th Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464108126",
            "country_code": "US",
            "telephone_number": "219-769-7060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Main St",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214066",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETKOWSKI",
        "first_name": "KIRSTEN",
        "middle_name": "O'BLOCK",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005612A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bernal
• Jessica Bernardino
• Charina Bernarte, PT
• Lawrence D Bernstein, MD
• Craig Stewart Best, D.O.
• Better Quality of Life Care MD, PC
• Better Solutions
• Ravi S. Bhagwat, M.D.
• Arpan M. Bhakta, M.D.
• Jayshree S Bhatt, MD PC

• Family Nurse Practitioner in Munster, IN
• Providers in Munster, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.