Individual provider Active NPI

Katharine Elizabeth Walls, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1184379703
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28152855A Issued in IN
Practice address
714 N Senate Ave Ste 100
Indianapolis, IN 46202-3297
Phone
(317) 963-0166
Fax
(317) 963-2711
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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 71012135A IN
Family Nurse Practitioner 363LF0000X 28152855A IN Primary

Addresses

Primary practice location

714 N Senate Ave Ste 100
Indianapolis, IN 46202-3297

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

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
I20220314001241 IN Practitioner - Nurse Practitioner 2769877554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Indiana University Radiology Associates IncGroup PAC ID 7315922267, 213 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012135AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Family CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Radiology Associates, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

2610 Enterprise Dr
Anderson, IN 46013
Phone (765) 608-3608

1115 Ronald Reagan Pkwy
Ste 141
Avon, IN 46123
Phone (317) 217-2700

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

11725 Illinois St
Ste 515
Carmel, IN 46032
Phone (317) 688-5180

11725 Illinois St
Ste LL050
Carmel, IN 46032
Phone (317) 688-5626

13000 E 136th St
Fishers, IN 46037
Phone (317) 678-2000

6845 Rama Dr
Indianapolis, IN 46219
Phone (317) 944-0920

702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273

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

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

9660 E Washington St
Indianapolis, IN 46229
Phone (317) 329-7200

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

714 N Senate Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 715-6402

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

8803 N Meridian St
Ste 175
Indianapolis, IN 46260
Phone (317) 962-6875

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

2598 W White River Blvd
Muncie, IN 47303
Phone (765) 282-7595

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

Interoperability endpoints

  • Direct secure messaging: kwalls@direct.iuhealth.org
  • Direct secure messaging: kwalls102259@direct.eskenazihealth.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1184379703",
    "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": "714 N SENATE AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023297",
            "telephone_number": "317-963-0166",
            "fax_number": "317-963-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "KATHARINE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012135A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28152855A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.