Individual provider Active NPI

Kiersten L McKinney

  • Family Nurse Practitioner
  • Noblesville, IN
National Provider Identifier
1336650100
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007572A Issued in IN
Practice address
865 Westfield Rd Ste D
Noblesville, IN 46062-8938
Phone
(317) 776-3851
Fax
(317) 776-3854
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007572A IN Primary

Addresses

Primary practice location

865 Westfield Rd Ste D
Noblesville, IN 46062-8938

Mailing address

PO Box 775985
Chicago, IL 60677-5985
Phone (317) 770-6900

Other practice location 1

14540 Prairie Lakes Blvd N Ste 104
Noblesville, IN 46060-4370
Phone (317) 565-0106

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmckinney958493@DirectC.mercy.net 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171103001257 IN Practitioner - Nurse Practitioner 2264798479 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007572AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital Family CurrentSince Oct 13, 2017 Accepting new patients
Riverview Hospital CurrentSince Dec 5, 2021 Accepting new patients
Riverview Hospital CurrentSince Oct 13, 2017 Accepting new patients
Indianapolis Neurosurgical Group PC PastSince Oct 13, 2017 Accepting new patients

Locations

865 Westfield Rd
Ste A
Noblesville, IN 46062
Phone (317) 773-2222

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

865 Westfield Rd
Ste D
Westfield, IN 46062
Phone (317) 770-8719

17600 Shamrock Blvd
Ste 500A
Westfield, IN 46074
Phone (317) 214-5468

Interoperability endpoints

  • Direct secure messaging: kmckinney958493@directc.mercy.net

Organizations & group practices 4

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1336650100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 WESTFIELD RD STE D",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628938",
            "telephone_number": "317-776-3851",
            "fax_number": "317-776-3854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14540 Prairie Lakes Blvd N Ste 104",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460604370",
            "country_code": "US",
            "telephone_number": "317-565-0106",
            "fax_number": "317-776-3854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "KIERSTEN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007572A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmckinney958493@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "865 Westfield Rd Ste D",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460628938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.