Individual provider Active NPI

Kristina Page, FNP - C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1205495686
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71009090A Issued in IN
Practice address
300 E Main St Ste D
Carmel, IN 46032-1782
Phone
(317) 506-8529
Fax
(800) 783-1430
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 71009090A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71009090A IN Primary

Addresses

Primary practice location

300 E Main St Ste D
Carmel, IN 46032-1782

Mailing address

300 E Main St Ste D
Carmel, IN 46032-1782
Phone (463) 224-2641

Other practice location 1

606 Steinbeck Pl
Carmel, IN 46032-3396
Phone (463) 224-2641

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
I20190805001043 IN Practitioner - Nurse Practitioner 3779810445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

300 E Main St
Suite a
Carmel, IN 46032-1782
Phone (463) 224-2641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 14, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

Interoperability endpoints

  • Direct secure messaging: pagehealthservicesllc.kristinapage@158321.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/45/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1205495686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE D",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321782",
            "telephone_number": "463-224-2641",
            "fax_number": "800-783-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE D",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321782",
            "telephone_number": "317-506-8529",
            "fax_number": "800-783-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Steinbeck Pl",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323396",
            "country_code": "US",
            "telephone_number": "463-224-2641",
            "fax_number": "800-783-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "KRISTINA",
        "credential": "FNP - C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009090A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71009090A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.