Individual provider Active NPI

Kristin Reedy

  • Gerontology Nurse Practitioner
  • Shelbyville, IN
National Provider Identifier
1386004844
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71006254A Issued in IN
Practice address
30 W Rampart St Ste 230
Shelbyville, IN 46176-8897
Phone
(317) 398-7644
Fax
(317) 401-2214
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71006254A IN
Registered Nurse 163W00000X 28138738A IN
Gerontology Nurse Practitioner 363LG0600X 71006254A IN Primary

Addresses

Primary practice location

30 W Rampart St Ste 230
Shelbyville, IN 46176-8897

Mailing address

30 W Rampart St Ste 200
Shelbyville, IN 46176-8897
Phone (317) 398-7644

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
I20160601000476 IN Practitioner - Nurse Practitioner 7517257751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major HospitalGroup PAC ID 0446167415, 100 clinicians
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211

30 W Rampart St
Suite 200
Shelbyville, IN 46176-5526

30 W Rampart St
Suite 200
Shelbyville, IN 46176-8846

801 N State
Greenfield, IN 46140-1270

801 N State St
Greenfield, IN 46140-1270

801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28138738AINMDRegistered Nurse
71006254AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC Registered Nurse CurrentSince Mar 9, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

801 N State St
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255

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.

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1386004844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST STE 200",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768897",
            "telephone_number": "317-398-7644",
            "fax_number": "317-401-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST STE 230",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768897",
            "telephone_number": "317-398-7644",
            "fax_number": "317-401-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71006254A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28138738A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71006254A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.