Active NPI
Kara Danielle Wyatt, MD
- Family Medicine Physician
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01076243A
- Practice address
- 221 N Celia Ave
Muncie, IN 47303-4609 - Phone
- (765) 747-3141
- Fax
- (765) 747-3175
- NPI assigned
- May 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01076243A | IN | Primary |
Addresses
Primary practice location
221 N Celia Ave
Muncie, IN 47303-4609
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
3041 W US Highway 36
Pendleton, IN 46064-9280
Phone (765) 778-0000
Other practice location 2
9730 W Smith St
Yorktown, IN 47396-1199
Phone (765) 722-6130
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201184970 | Medicaid | IN | |
| M55843104 | Other | IN | MEDICARE |
| M122404064 | Other | IN | MEDICARE |
Other names 1
- Kara Danielle Keesling
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kara.wyatt.1@7598.direct.athenahealth.com | St. Vincent Medical Group, Inc. | |
| Direct Messaging Address | kwyatt@direct.iuhealth.org | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 747-3141
3041 W US Hwy 36
Pendleton, IN 46064-9280
Phone (765) 778-0000
3607 N Everbrook LN
Muncie, IN 47304-5220
Hospital & facility affiliations
- Ascension at Home
- Ascension St Vincent Anderson
- Indiana University Health Ball Memorial Hospital
- Henry County Memorial Hospital
- Community Hospital of Anderson and Madison County
- Indiana University Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Past | Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
Interoperability endpoints
- kwyatt@direct.iuhealth.org
- kara.wyatt.1@7598.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
dba Ascension Medical Group St. Vincent
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
dba First Choice Physical Therapy (New Castle)
- Rehabilitation Clinic/Center
- New Castle, IN
- NPI 1841228996
-
dba IU Health Ball Memorial Physicians
- Hospitalist Physician
- Muncie, IN
- NPI 1598938037
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- New Castle, IN
- NPI 1356428429
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
dba Ascension St. Vincent Anderson
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
-
dba Ascension at Home
- Home Health Agency
- Pendleton, IN
- NPI 1942376843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1245675099",
"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": "221 N CELIA AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034609",
"telephone_number": "765-747-3141",
"fax_number": "765-747-3175"
}
],
"practiceLocations": [
{
"address_1": "3041 W US Highway 36",
"address_purpose": "LOCATION",
"city": "Pendleton",
"state": "IN",
"postal_code": "460649280",
"country_code": "US",
"telephone_number": "765-778-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9730 W Smith St",
"address_purpose": "LOCATION",
"city": "Yorktown",
"state": "IN",
"postal_code": "473961199",
"country_code": "US",
"telephone_number": "765-722-6130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYATT",
"first_name": "KARA",
"middle_name": "DANIELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-07",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01076243A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201184970",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "M55843104",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "M122404064",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kara.wyatt.1@7598.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "St. Vincent Medical Group, Inc.",
"address_1": "3041 W US Highway 36",
"city": "Pendleton",
"state": "IN",
"country_code": "US",
"postal_code": "460649280",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwyatt@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "221 N Celia Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473034609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KARA",
"last_name": "KEESLING",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.