Individual provider Active NPI

Kari Gittemeier

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1194361253
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
227102 Issued in AZ
Practice address
13737 N 92ND St
Scottsdale, AZ 85260-7434
Phone
(480) 426-4980
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 227102 AZ Primary

Addresses

Primary practice location

13737 N 92ND St
Scottsdale, AZ 85260-7434

Mailing address

13737 N 92ND St
Scottsdale, AZ 85260-7434

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
I20230927000887 IN Practitioner - Nurse Practitioner 5294160941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Indiana LLCGroup PAC ID 3678874567, 15 clinicians

Practice addresses (Care Compare)

133 W Market St
Indianapolis, IN 46204-2801
Phone (904) 446-3764

Hospital & facility affiliations

  • Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Indiana, LLC Nurse Practitioner CurrentSince Sep 15, 2023 Accepting new patients

Locations

133 W Market St
Indianapolis, IN 46204
Phone (312) 505-7514

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Organizations & group practices 1

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1194361253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 N 92ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13737 N 92ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607434",
            "telephone_number": "480-426-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTEMEIER",
        "first_name": "KARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "227102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.