Individual provider Active NPI

Kecia Marie Schwarzkopf, MSN, RN, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1255972980
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71009446A Issued in IN
Practice address
11725 Illinois St Ste 350
Carmel, IN 46032-3009
Phone
(317) 688-2831
NPI assigned
Oct 3, 2019
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71009446A IN
Gerontology Nurse Practitioner 363LG0600X 71009446A IN Primary

Addresses

Primary practice location

11725 Illinois St Ste 350
Carmel, IN 46032-3009

Mailing address

3361 Paisley Pointe
Whitestown, IN 46075-9780
Phone (815) 954-7538

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kschwarzkopf@direct.iuhealth.org

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
I20191113002319 IN Practitioner - Nurse Practitioner 3274965207 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
Group practices
University Surgeons IncGroup PAC ID 9436171949, 126 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

11725 N Illinois St
Carmel, IN 46032-3009
Phone (317) 688-4864

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
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71009446AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgeons, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Iu Health Medical Group, LLC Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients

Locations

7630 Solutions Ctr
Chicago, IL 60677

11725 Illinois St
Ste 275
Carmel, IN 46032
Phone (317) 688-4864

11725 Illinois St
Ste 350
Carmel, IN 46032
Phone (317) 688-2647

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

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1255972980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 PAISLEY POINTE",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460759780",
            "telephone_number": "815-954-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 ILLINOIS ST STE 350",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323009",
            "telephone_number": "317-688-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZKOPF",
        "first_name": "KECIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009446A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71009446A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kschwarzkopf@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "11725 Illinois St Ste 350",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460323009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.