NPIMap

Organization Active NPI

Outpatient Integrated Strategies, LLC

  • Gerontology Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1205342235
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
OUTPATIENT INTEGRATED STRATEGIES, LLC
Practice address
12315 Hancock St Ste 24
Carmel, IN 46032-5885
Phone
(317) 965-8641
NPI assigned
Dec 28, 2017
Last updated
Jul 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Mrs. Marie E Konnersman
Title
Executive Director
Phone
(317) 965-8641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X Primary

Addresses

Primary practice location

12315 Hancock St Ste 24
Carmel, IN 46032-5885

Mailing address

12315 Hancock St Ste 24
Carmel, IN 46032-5885
Phone (317) 965-8641

Other practice location 1

17300 Westfield Blvd Ste 110
Westfield, IN 46074-1363
Phone (317) 763-1019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180327001462 IN Part B Supplier - Clinic/Group Practice 9032471354 Receives reassigned benefits from 10 practitioners
Practice locations: Anderson, IN; Carmel, IN; Danville, IN; Evansville, IN; Indianapolis, IN; Kokomo, IN; Marion, IN; Noblesville, IN

National Provider Directory

National Provider Directory

Locations

12315 Hancock St
Carmel, IN 46032

1033 Indianapolis Rd
Greencastle, IN 46135
Phone (317) 745-3366

8335 Naab Rd
#7
Indianapolis, IN 46260

8335 Naab Rd
Ste I
Indianapolis, IN 46260

1907 W Sycamore St
Ste 300
Kokomo, IN 46901
Phone (765) 236-8888

17300 Westfield Blvd
Westfield, IN 46074
Phone (317) 708-3732

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1205342235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 HANCOCK ST STE 24",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325885",
            "telephone_number": "317-965-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 HANCOCK ST STE 24",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325885",
            "telephone_number": "317-965-8641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17300 Westfield Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460741363",
            "country_code": "US",
            "telephone_number": "317-763-1019",
            "fax_number": "317-763-1082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUTPATIENT INTEGRATED STRATEGIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "KONNERSMAN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-965-8641",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.