Kaitlin Medlin Bauer, APRN
Individual provider Active NPI Family Nurse Practitioner · New Albany, IN
NPI 1366041857 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1366041857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3015029 (KY)
- Practice address
- 2305 Green Valley Rd
New Albany, IN 47150-4691 - Phone
- (812) 949-0405
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201028001811 | KY | Practitioner - Nurse Practitioner | 8224448501 | Reassigns benefits to 1 organization |
| I20201207000971 | IN | Practitioner - Nurse Practitioner | 8224448501 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Clinic of in LLC | Family | Current |
Accepting new patients |
| Kiosk Medicine Kentucky LLC | Family | Current |
Accepting new patients |
| Nassim and Associates, PSC | Past |
Accepting new patients |
Locations
815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146
5350 E Thompson Rd
Indianapolis, IN 46237
Phone (317) 396-0814
1330 W Southport Rd
Indianapolis, IN 46217
Phone (317) 884-4250
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
9080 Taylorsville Rd
Louisville, KY 40299
Phone (502) 491-8805
Interoperability endpoints
- kaitlin.medlin@krogerhealth.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3015029 | KY | Yes |
Addresses
Primary practice location
2305 Green Valley Rd
New Albany, IN 47150-4691
Mailing address
2305 Green Valley Rd
New Albany, IN 47150-4691
Phone (812) 949-0405
Other names
- Kaitlin Marie Medlin
Other providers in New Albany, IN
- Heidi Christine Barrett
- Hannah Barrineau
- Barron M. Compton, DDS, LLC
- Maria Nicole Bartanen
- Karen Bassett
- Emily Baumann
- Kristy Baur
- Charles Baus
- Christina Lauren Bayens
- BBB of in, LLC
All providers in New Albany, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.